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Missouri rates for HCPCS 43772

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

Facilitymedian $5,129 · 10th–90th $1,479$26,3030%5%10th90th$5,129$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $4,897.79 / $13,489.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $11,220.18 / $33,113.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $14,454.40 / $17,782.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,445.44 / $13,182.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,090.30 / $12,882.50