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Vein Bypass Around A Blocked Artery In The Upper Body

Illinois rates for HCPCS 35516

A bypass that reroutes blood around a blocked or narrowed artery in the region running from the upper chest through the shoulder into the arm. A length of the patient's own vein is sewn in between two healthy points on either side of the blockage so blood flows past it.

Facilitymedian $3,090 · 10th–90th $1,148$9,7720%5%10%10th90th$3,090Professionalmedian $1,514 · 10th–90th $1,202$2,8840%10%20%10th90th$1,514$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$3,090.30
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$2,691.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$14,454.40
Typical High
$27,542.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,819.70
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,819.70
Typical High
$2,570.40
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,949.84
Typical High
$5,888.44
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,584.89
Typical High
$1,778.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,951.21
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,778.28
Typical High
$2,818.38