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Missouri rates for HCPCS 35501

Bypass graft, with vein; common carotid-ipsilateral internal carotid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,737.80 / $3,311.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,897.79 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,905.46 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,513.56 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,187.76 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $2,511.89 / $11,748.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,511.89 / $10,232.93
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
$1,380.38 / $2,238.72 / $3,715.35