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Maine rates for HCPCS 35616

Bypass graft, with other than vein; subclavian-axillary

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,348.96 / $2,344.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $12,022.64 / $16,218.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,548.82 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,445.44 / $2,290.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,479.11 / $1,949.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,621.81 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,584.89 / $2,041.74