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Missouri rates for HCPCS 35663

Bypass graft, with other than vein; ilioiliac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,464.28 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.56 / $1,455.46 / $1,516.19
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
$1,226.47 / $1,614.00 / $2,474.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.83 / $1,780.78 / $3,341.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,126.03 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.41 / $2,355.77 / $10,743.00
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
$1,147.86 / $1,932.82 / $3,234.80