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Missouri rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,299.71 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.18 / $1,263.94 / $1,783.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $4,319.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.49 / $1,415.78 / $2,286.96
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
$1,046.46 / $1,589.81 / $2,634.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.66 / $1,569.92 / $3,473.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.73 / $2,173.10 / $8,760.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.00 / $3,300.00 / $11,186.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.74 / $1,681.33 / $2,882.74