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Missouri rates for HCPCS 61613

Obltrj Carotid Arysm Artven Carotid Fistula Dsj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,507.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,715.57 / $3,299.69 / $3,714.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,517.00 / $14,717.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,998.88 / $3,971.20 / $5,874.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,810.30 / $4,731.79 / $7,168.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $3,860.23 / $9,789.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,613.96 / $6,084.87 / $23,209.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,489.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,441.87 / $5,019.66 / $7,724.76