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California rates for HCPCS 35626

Bypass graft, with other than vein; aortosubclavian, aortoinnominate, or aortocarotid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,585.95 / $9,639.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,765.00 / $8,612.00 / $18,150.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $5,485.17
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.35 / $1,502.40 / $2,110.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.91 / $1,848.42 / $3,424.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $23,265.12 / $28,560.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.45 / $2,074.98 / $2,713.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,319.00 / $20,279.00