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Tennessee rates for HCPCS 35522

Bypass graft, with vein; axillary-brachial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,930.22 / $2,683.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.35 / $1,416.98 / $2,331.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,326.00 / $4,372.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.98 / $1,564.81 / $2,696.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.03 / $1,804.88 / $2,527.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $11,497.50 / $11,795.22
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,151.00 / $10,151.00 / $10,151.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.08 / $1,869.17 / $2,888.53