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Missouri rates for HCPCS 43847

Gastric Rstcv W/Byp W/Sm Int Rcnstj Limit Absrpj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,691.00 / $26,450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.10 / $1,895.46 / $2,671.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,340.00 / $10,500.00 / $32,783.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.44 / $2,131.17 / $3,438.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,371.00 / $24,415.00 / $29,229.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,586.27 / $2,383.58 / $3,977.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,598.55 / $2,346.12 / $5,207.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.86 / $3,260.48 / $13,253.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.00 / $3,300.00 / $12,661.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.73 / $2,456.03 / $4,298.38