go back

Missouri rates for HCPCS 43770

Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $4,931.00 / $15,416.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $9,270.00 / $32,008.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,340.00 / $17,832.00 / $25,574.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.67 / $1,699.92 / $12,661.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $8,468.00 / $17,792.00