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Missouri rates for HCPCS 35883

Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,265.80 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $10,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $2,398.83 / $12,882.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,981.07 / $10,000.00