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Wyoming rates for HCPCS 35636

Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.77 / $1,572.77 / $1,572.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,594.00 / $4,052.00 / $4,862.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,275.92 / $2,383.76 / $3,873.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,034.54 / $5,183.29 / $6,633.00