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Missouri rates for HCPCS 33755

Shunt; ascending aorta to pulmonary artery (Waterston type operation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,583.52 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.11 / $1,583.52 / $1,647.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.10 / $1,639.32 / $2,631.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.55 / $1,862.65 / $3,680.91
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
$1,373.93 / $2,546.42 / $11,932.00
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
$1,373.93 / $2,006.44 / $3,907.70