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Missouri rates for HCPCS 34203

Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.82 / $4,470.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,043.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,767.81 / $9,961.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$225.23 / $1,314.53 / $1,314.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,390.00 / $12,989.00