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Missouri rates for HCPCS 35884

Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.98 / $1,480.23 / $1,543.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.97 / $1,537.11 / $2,653.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.86 / $1,799.34 / $3,277.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,298.14 / $10,157.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.95 / $2,144.91 / $12,431.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,390.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.95 / $1,967.52 / $4,195.83