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Missouri rates for HCPCS 0643T

Transcatheter L Ventr Restoration Device Impltj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,507.00 / $7,110.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,507.00 / $5,389.00 / $10,593.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,488.11 / $16,049.09 / $32,039.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.53 / $1,577.26 / $1,577.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,099.00 / $9,059.00 / $14,057.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.00 / $2,983.00 / $11,186.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00