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Missouri rates for HCPCS 35305

Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.62 / $5,389.00 / $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 / $2,072.73 / $9,879.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00