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Missouri rates for HCPCS 43644

Laps Gstr Rstcv Px W/Byp Roux-En-Y Limb <150 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,085.07 / $7,365.00 / $25,680.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,340.00 / $13,478.66 / $32,783.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $24,415.00 / $29,229.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,602.67 / $2,625.51 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$426.04 / $792.48 / $792.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,858.00 / $6,811.00 / $12,989.00