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Missouri rates for HCPCS 33875

Descending thoracic aorta graft, with or without bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,507.00 / $4,470.00 / $12,174.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.95 / $3,278.82 / $3,412.11
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
$2,399.00 / $3,234.19 / $4,700.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,252.89 / $3,732.00 / $6,858.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,252.40 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,568.05 / $5,330.92 / $19,402.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.42 / $4,306.18 / $8,085.49