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Missouri rates for HCPCS 43772

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $4,919.00 / $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
$4,371.00 / $14,573.00 / $17,832.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.29 / $1,432.32 / $11,989.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $8,468.00 / $17,792.00