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New York rates for HCPCS 35571

Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.33 / $4,043.00 / $10,296.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,538.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,837.10 / $1,837.10 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,491.29 / $1,491.29 / $7,227.90
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$144.38 / $144.38 / $144.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $2,174.85 / $4,150.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,491.29 / $74,999.25
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$144.38 / $144.38 / $144.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.93 / $1,623.93 / $5,226.22