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Missouri rates for HCPCS 37788

Penile revascularization, artery, with or without vein graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,517.95 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.85 / $1,474.94 / $1,579.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $10,324.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.31 / $1,585.00 / $2,633.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.60 / $1,843.00 / $3,031.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,210.78 / $6,335.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.99 / $2,425.17 / $10,193.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.99 / $2,023.85 / $3,913.91