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Pennsylvania rates for HCPCS 35266

Repair blood vessel with graft other than vein; upper extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $6,606.93 / $9,772.37
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,000.00 / $57,543.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $5,370.32 / $9,772.37
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,495.41 / $16,982.44