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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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.13 / $2,021.12 / $4,691.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,145.29 / $2,626.12 / $2,931.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.17 / $2,481.01 / $6,005.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,498.33 / $2,845.43 / $3,028.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,373.44 / $2,644.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,845.44 / $3,112.56 / $3,153.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.98 / $2,462.23 / $3,658.22