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Missouri rates for HCPCS 43774

Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.91 / $4,261.00 / $13,618.00
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
$888.47 / $1,451.61 / $11,989.29
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$237.43 / $1,008.48 / $1,008.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $8,468.00 / $17,792.00