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Pennsylvania rates for HCPCS 35188

Repair, acquired or traumatic arteriovenous fistula; head and neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,416.00 / $4,304.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.70 / $1,447.91 / $1,807.32
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,293.34 / $1,342.15 / $1,342.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.32 / $1,485.77 / $2,543.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.13 / $2,020.13 / $2,188.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.70 / $1,544.00 / $5,958.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $1,343.20 / $3,218.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.85 / $1,500.62 / $2,493.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.77 / $1,259.04 / $1,259.04
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.77 / $1,259.04 / $1,337.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,899.00 / $4,564.00 / $8,261.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.47 / $1,361.80 / $2,560.65