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Missouri rates for HCPCS 33767

Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,698.24 / $2,398.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,819.70 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,513.56 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,041.74 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $2,454.71 / $11,748.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,344.23 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,818.38 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,137.96 / $3,630.78