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Missouri rates for HCPCS 33852

Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $5,389.00 / $24,957.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.03 / $1,681.38 / $2,284.67
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
$1,423.73 / $1,778.01 / $2,798.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.34 / $2,049.06 / $4,019.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,200.35 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.55 / $2,708.07 / $16,901.89
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
$1,460.55 / $2,199.63 / $4,148.52