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Virginia 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
$1,793.68 / $4,796.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,480.37 / $9,394.00 / $12,872.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.88 / $1,751.86 / $2,160.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,750.18 / $2,201.34 / $3,170.72
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.37 / $2,062.58 / $4,462.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00