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Missouri rates for HCPCS 33767

Shunt Superior Vena Cava Pulm Artery Both Lungs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.15 / $1,698.56 / $2,100.91
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
$1,478.32 / $1,837.00 / $2,878.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.33 / $2,078.73 / $4,164.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,327.94 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,485.81 / $2,758.81 / $16,540.23
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
$1,361.46 / $2,171.32 / $5,193.24