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Missouri rates for HCPCS 43886

Gastric restrictive procedure, open; revision of subcutaneous port component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $2,782.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.03 / $386.43 / $558.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,050.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.45 / $413.35 / $681.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $1,652.00 / $1,652.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $468.65 / $777.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.03 / $556.07 / $3,316.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.65 / $622.02 / $2,705.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,829.00 / $3,700.00 / $6,653.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.65 / $488.39 / $857.46