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Missouri rates for HCPCS 33677

Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,174.42 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.62 / $2,516.21 / $2,618.50
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
$2,093.00 / $2,586.00 / $4,359.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,984.63 / $2,976.94 / $5,562.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,896.23 / $9,879.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,197.86 / $3,620.02 / $19,413.43
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
$2,197.86 / $3,388.21 / $6,205.33