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Missouri rates for HCPCS 33858

Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,507.00 / $4,610.00 / $13,151.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,043.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,741.62 / $11,871.07
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$809.82 / $1,510.64 / $1,510.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00