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Missouri rates for HCPCS 35522

Bypass graft, with vein; axillary-brachial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.59 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.04 / $1,396.85 / $1,456.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $10,123.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.78 / $1,550.00 / $2,457.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.33 / $1,676.20 / $3,207.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,059.71 / $9,837.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.84 / $2,273.40 / $10,151.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.84 / $1,920.70 / $3,595.51