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Missouri rates for HCPCS 36830

Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $4,168.69 / $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
$831.76 / $4,265.80 / $26,302.68
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$158.49 / $1,621.81 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,981.07 / $6,918.31