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Missouri rates for HCPCS 43865

Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.79 / $1,790.88 / $2,523.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,340.00 / $5,095.00 / $20,056.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,588.00 / $2,022.52 / $3,261.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $24,415.00 / $29,229.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.17 / $2,264.80 / $3,775.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,509.33 / $2,254.69 / $4,636.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.47 / $3,094.03 / $12,311.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.00 / $3,300.00 / $11,489.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.43 / $2,382.87 / $4,667.63