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West Virginia 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
$1,400.00 / $1,685.45 / $1,685.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.45 / $1,758.29 / $1,940.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.17 / $1,940.47 / $2,114.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.26 / $1,879.26 / $1,879.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,803.35 / $1,803.35 / $1,803.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.74 / $2,495.29 / $9,776.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.34 / $1,977.64 / $3,050.95