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Missouri rates for HCPCS 43645

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,241.46 / $7,136.37 / $26,450.00
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
$1,702.93 / $2,783.26 / $5,691.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $7,576.00 / $12,989.00