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Missouri rates for HCPCS G0269

Placement of occlusive device into either a venous or arterial access site, postsurgical or interventional procedure (e.g., angioseal plug, vascular plug)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,752.00 / $8,347.00 / $10,512.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $12.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,679.00 / $10,679.00 / $10,679.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $7.60 / $7.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $130.66 / $1,261.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,034.62 / $2,034.62 / $2,034.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $760.00 / $1,300.00