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Missouri rates for HCPCS 33917

Repair of pulmonary artery stenosis by reconstruction with patch or graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.71 / $4,470.00 / $12,174.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.14 / $1,743.20 / $4,356.64
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
$1,528.92 / $1,873.68 / $3,046.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.80 / $2,116.29 / $4,207.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,402.00 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.09 / $2,821.10 / $22,018.91
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
$1,643.43 / $2,339.94 / $4,322.27