go back

Missouri rates for HCPCS 33940

Donor Cardiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,875.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.00 / $1,875.00 / $1,875.00
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
$1,031.90 / $1,244.53 / $2,066.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.00 / $518.00 / $1,767.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,038.31 / $7,903.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,994.50 / $10,994.50 / $10,994.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.00 / $2,693.00 / $10,500.00