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Missouri rates for HCPCS 36831

Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,560.00 / $12,154.00
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
$659.19 / $1,687.35 / $26,542.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$147.69 / $1,618.01 / $1,618.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,858.00 / $4,390.00 / $7,353.00