go back

Michigan 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
$2,125.83 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.44 / $2,125.83 / $2,204.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,798.50 / $9,089.43 / $12,314.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.13 / $2,493.10 / $3,889.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.09 / $2,198.35 / $2,866.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,834.55 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,813.65 / $1,834.55 / $2,715.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.14 / $1,269.97 / $1,982.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,839.23 / $2,307.13 / $2,938.77