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Missouri rates for HCPCS 35571

Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.46 / $4,470.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $10,123.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,266.89 / $10,826.46
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$312.68 / $587.05 / $587.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00