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Missouri rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $4,931.00 / $15,416.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.85 / $1,341.79 / $1,898.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,340.00 / $10,093.00 / $32,237.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.09 / $1,502.00 / $2,425.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,371.00 / $14,573.00 / $17,832.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.59 / $1,703.29 / $2,808.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.85 / $1,928.15 / $12,661.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.30 / $2,206.41 / $9,854.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $8,468.00 / $17,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.88 / $1,735.47 / $3,041.55