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Missouri rates for HCPCS 43771

Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,570.88 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,380.38 / $3,388.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $11,481.54 / $33,113.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,445.44 / $2,454.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,513.56 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $14,454.40 / $17,782.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,621.81 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,949.84 / $14,791.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,862.09 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,235.94 / $14,791.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,584.89 / $2,570.40