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Missouri rates for HCPCS 35703

Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $3,351.00 / $8,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,286.00 / $10,011.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $969.77 / $7,500.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$100.67 / $187.11 / $187.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00