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Utah rates for HCPCS 35501

Bypass graft, with vein; common carotid-ipsilateral internal carotid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,698.24 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,137.96 / $2,398.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $4,570.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,311.31 / $4,365.16
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $3,388.44 / $4,677.35
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,290.87 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,862.09 / $3,090.30