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Missouri rates for HCPCS 35303

Thromboendarterectomy, including patch graft, if performed; popliteal artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,537.93 / $4,908.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $5,208.00 / $11,904.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,074.98 / $9,879.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$289.99 / $544.05 / $544.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.00 / $2,693.00 / $10,500.00