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Texas rates for HCPCS 35631

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

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
$1,642.95 / $1,642.95 / $1,642.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $32,211.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,880.60 / $2,400.00 / $4,104.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,880.60 / $2,448.82 / $4,622.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00