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Missouri rates for HCPCS 35642

Bypass graft, with other than vein; carotid-vertebral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,174.90 / $1,862.09
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
$1,047.13 / $1,318.26 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,445.44 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $1,862.09 / $11,220.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,737.80 / $10,471.29
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
$933.25 / $1,513.56 / $2,511.89