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California rates for HCPCS 35631

Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,871.67 / $9,936.00 / $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 / $7,340.45
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.35 / $1,502.40 / $2,253.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,637.87 / $2,116.01 / $3,892.92
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $26,854.24 / $33,213.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,793.81 / $2,380.94 / $3,050.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,159.00 / $20,279.00