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Texas rates for HCPCS 35633

Bypass graft, with other than vein; ilio-mesenteric

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
$1,768.59 / $1,768.59 / $1,768.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $34,467.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.04 / $2,364.15 / $4,408.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.04 / $2,364.15 / $4,521.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00