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Missouri rates for HCPCS 35623

Byp Oth/Thn Vein Axillary-Popliteal/-Tibial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,579.99 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.83 / $1,570.72 / $1,637.37
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
$1,313.17 / $1,730.00 / $2,671.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.50 / $1,925.00 / $3,614.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,297.88 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.46 / $2,542.55 / $13,197.00
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
$1,376.46 / $2,044.65 / $4,786.58