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Tennessee 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
$2,258.00 / $3,297.94 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.28 / $1,855.79 / $3,038.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,326.00 / $4,372.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,532.64 / $2,039.41 / $3,470.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.76 / $2,382.44 / $3,393.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $27,848.96 / $28,576.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,924.80 / $11,205.20 / $13,392.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,554.99 / $2,417.58 / $3,872.60