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Missouri rates for HCPCS 61703

Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.81 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.36 / $1,369.15 / $1,525.95
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
$1,237.40 / $1,648.58 / $2,494.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.44 / $1,999.98 / $3,138.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.00 / $2,042.63 / $8,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,485.07 / $2,501.19 / $9,687.12
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
$1,414.35 / $2,012.20 / $3,202.62