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Missouri rates for HCPCS 33694

Compl Rpr T-Fallot W/O Pulm Atresia Tanulr Patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,018.91 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,885.99 / $2,336.17 / $2,858.61
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
$2,054.33 / $2,554.26 / $4,050.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,822.43 / $2,762.89 / $5,505.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,862.00 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.42 / $3,790.89 / $22,284.20
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
$2,039.42 / $3,021.01 / $5,761.54