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Missouri rates for HCPCS 33863

Ascending aorta graft, with cardiopulmonary bypass, with aortic root replacement using valved conduit and coronary reconstruction (eg, Bentall)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,507.00 / $4,762.20 / $12,154.00
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 / $3,881.98 / $11,043.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$750.85 / $1,399.83 / $1,399.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00