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Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,041.74 / $4,677.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $6,456.54 / $9,120.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,951.21 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,630.27 / $3,162.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,162.28 / $5,495.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,754.23 / $3,388.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,090.30 / $3,311.31
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,238.72 / $3,388.44