go back

Missouri rates for HCPCS 33258

Atria Abltj & Rcnstj W/Other Px Extensiv W/O Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.43 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.33 / $778.77 / $810.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,358.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.30 / $784.37 / $1,292.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.51 / $972.65 / $1,725.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,215.65 / $6,335.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.76 / $1,114.64 / $5,559.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.76 / $995.60 / $1,922.18