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Missouri rates for HCPCS 43845

Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,807.28 / $5,691.00 / $26,450.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,340.00 / $6,018.00 / $20,396.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $14,573.00 / $17,832.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.39 / $2,538.00 / $5,602.57
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$481.85 / $895.72 / $895.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,300.00 / $12,661.00