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Missouri rates for HCPCS 43328

Esopg/Gstr Fundoplasty W/Thoracotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.64 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.02 / $1,164.67 / $1,666.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,050.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.22 / $1,372.46 / $2,234.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.49 / $1,623.39 / $2,594.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.81 / $1,699.02 / $3,362.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.08 / $1,965.01 / $8,001.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,374.44 / $2,849.00 / $8,198.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.10 / $1,688.49 / $2,681.66