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Texas 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
$969.00 / $3,596.00 / $10,836.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.54 / $1,450.54 / $1,450.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $28,029.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,625.71 / $2,041.53 / $3,515.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,625.71 / $2,119.58 / $3,995.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00