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Missouri rates for HCPCS 33891

Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.83 / $1,158.83 / $1,158.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.40 / $1,891.54 / $4,846.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.75 / $1,297.54 / $1,976.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,586.26 / $1,586.26 / $1,586.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,698.14 / $9,619.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.04 / $1,791.54 / $10,107.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.24 / $1,500.11 / $2,829.28