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Missouri rates for HCPCS 35363

Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.92 / $1,938.82 / $2,021.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $5,208.00 / $11,904.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.65 / $2,174.00 / $3,412.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.05 / $2,417.25 / $4,489.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,538.00 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.07 / $3,145.26 / $11,406.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.07 / $2,664.04 / $4,777.02