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Missouri rates for HCPCS 35876

Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,171.47 / $5,389.00 / $12,174.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,043.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.10 / $2,426.00 / $26,542.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$223.69 / $1,618.01 / $1,618.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,390.00 / $11,870.00