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Missouri rates for HCPCS 43644

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $6,760.83 / $25,703.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $18,620.87 / $34,673.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $23,988.33 / $29,512.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,630.27 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$426.58 / $794.33 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,570.88 / $12,589.25