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Missouri rates for HCPCS 43773

Laps Gastric Restrictive Px Remove&Rplcmt Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $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
$2,224.00 / $9,270.00 / $32,008.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.89 / $1,504.50 / $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
$1,136.94 / $1,702.20 / $2,813.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.85 / $1,932.73 / $13,827.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.34 / $2,211.54 / $9,854.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $8,468.00 / $17,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.88 / $1,778.07 / $3,033.34