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Missouri rates for HCPCS 35636

Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.30 / $1,905.53 / $1,987.81
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
$1,613.44 / $2,118.00 / $3,248.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.64 / $2,338.39 / $4,374.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,520.00 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.03 / $3,088.82 / $11,205.20
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
$1,672.03 / $2,484.40 / $4,119.17