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Missouri rates for HCPCS 35515

Bypass graft, with vein; subclavian-vertebral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,584.89 / $2,454.71
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
$1,288.25 / $1,659.59 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,380.38 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,905.46 / $3,235.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $2,398.83 / $11,748.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,238.72 / $11,481.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,818.38 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,041.74 / $3,388.44