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Missouri rates for HCPCS 34717

Evasc Rpr Iliac Art Tm Of A-Iliac Art Ndgft Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $6,284.00 / $13,151.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,587.00 / $17,951.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,023.20 / $7,500.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$103.81 / $195.28 / $195.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00