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Pennsylvania rates for HCPCS 35256

Repair Blood Vessel Vein Graft Lower Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.29 / $4,989.00 / $9,534.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.00 / $5,342.00 / $9,830.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.21 / $983.21 / $1,048.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,029.00 / $7,000.00 / $17,398.83