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Alaska rates for HCPCS 35636

Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,617.68 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,036.52 / $8,869.20 / $8,869.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,453.01 / $5,453.01 / $5,453.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,943.41 / $8,869.20 / $12,682.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,785.35 / $9,830.10 / $12,752.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,851.25 / $6,787.45 / $10,269.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,943.41 / $8,869.20 / $12,682.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.16 / $6,949.50 / $10,647.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,362.39 / $6,543.60 / $10,083.70