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Tennessee rates for HCPCS 35633

Bypass graft, with other than vein; ilio-mesenteric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.00 / $3,940.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,326.00 / $4,528.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $34,467.19 / $35,498.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00