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Missouri rates for HCPCS 35022

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, innominate, subclavian artery, by thoracic incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.50 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.14 / $1,726.06 / $1,796.23
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
$1,415.00 / $1,793.70 / $2,841.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,340.15 / $2,029.75 / $3,670.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,294.25 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,504.94 / $2,803.19 / $10,243.28
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
$1,504.94 / $2,198.48 / $4,258.26