go back

Pennsylvania rates for HCPCS 35616

Bypass graft, with other than vein; subclavian-axillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,754.40 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,288.25 / $3,311.31
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,621.81 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,380.38 / $2,187.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,778.28
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,513.56 / $2,454.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,265.80 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,445.44 / $3,388.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,288.25 / $2,454.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,258.93
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,071.52 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,570.40 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,348.96 / $2,238.72