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Missouri rates for HCPCS 34201

Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,897.79 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $10,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $2,187.76 / $12,882.50
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$239.88 / $1,318.26 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,981.07 / $10,000.00