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Missouri rates for HCPCS 35870

Repair of graft-enteric fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.04 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.25 / $1,491.85 / $1,554.68
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
$1,255.05 / $1,616.48 / $2,532.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.31 / $1,807.28 / $3,427.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,196.67 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.35 / $2,410.14 / $15,227.00
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
$1,305.35 / $1,936.78 / $3,676.31