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Missouri rates for HCPCS 33915

Pulmonary artery embolectomy; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.87 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.14 / $1,646.87 / $1,713.81
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
$1,388.49 / $1,691.43 / $2,634.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.55 / $1,936.30 / $3,619.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,214.00 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.25 / $2,683.74 / $11,506.00
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
$1,439.25 / $2,175.34 / $3,520.42