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Missouri rates for HCPCS 43775

Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $8,621.82 / $24,327.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,340.00 / $10,093.00 / $32,237.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,340.00 / $17,832.00 / $25,574.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.36 / $1,741.38 / $12,334.80
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$268.14 / $502.13 / $502.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $8,468.00 / $13,827.00