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Missouri rates for HCPCS 35302

Thromboendarterectomy, including patch graft, if performed; superficial femoral artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,897.79 / $8,912.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $6,025.60 / $12,589.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $2,089.30 / $10,964.78
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$263.03 / $489.78 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,818.38 / $10,471.29