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Oklahoma 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
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,970.66 / $1,970.66 / $2,031.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.92 / $2,324.14 / $2,785.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $2,089.90 / $6,155.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.67 / $2,071.64 / $11,205.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.62 / $1,839.23 / $2,722.41