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Missouri rates for HCPCS 33503

Repair of anomalous coronary artery from pulmonary artery origin; by graft, without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $5,439.11 / $21,751.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.57 / $1,596.04 / $1,660.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.28 / $1,706.32 / $2,688.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.54 / $1,902.93 / $3,649.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,214.00 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.31 / $2,562.75 / $12,784.00
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
$1,475.37 / $2,087.16 / $3,939.00