go back

Missouri rates for HCPCS 35363

Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,897.79 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,995.26 / $2,951.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $6,025.60 / $12,302.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,187.76 / $3,388.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,398.83 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $2,691.53 / $11,748.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,818.38 / $11,481.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,818.38 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,570.40 / $4,168.69