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Pennsylvania rates for HCPCS 35612

Bypass graft, with other than vein; subclavian-subclavian

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.45 / $1,152.82 / $1,443.66
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.02 / $1,349.20 / $1,960.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.82 / $1,309.59 / $2,077.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,554.82 / $1,554.82 / $1,652.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.45 / $1,237.94 / $5,270.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $1,753.90 / $2,527.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.58 / $1,317.56 / $2,077.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.63 / $1,006.63 / $1,265.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.58 / $1,026.76 / $1,265.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.48 / $1,243.67 / $2,077.17