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Missouri rates for HCPCS 35654

Bypass graft, with other than vein; axillary-femoral-femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,633.67 / $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 / $2,328.81 / $11,043.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$323.08 / $606.29 / $606.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00