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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.77 / $1,804.31 / $8,036.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.25 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.08 / $1,542.78 / $1,928.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.53 / $1,857.66 / $2,740.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.78 / $2,059.89 / $4,435.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.89 / $1,803.90 / $11,205.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,503.25 / $1,760.53 / $2,742.13