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Missouri rates for HCPCS 43284

Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,128.61 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $1,862.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,090.30 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $776.25 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $851.14 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,000.00 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $912.01 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,677.35 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $1,318.26