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Missouri rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

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 / $1,576.00 / $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
$1,341.72 / $1,644.28 / $2,631.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.55 / $1,862.65 / $3,726.41
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 / $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
$1,373.93 / $2,073.64 / $4,082.09