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Indiana rates for HCPCS 35642

Bypass graft, with other than vein; carotid-vertebral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,344.23 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,122.02 / $1,819.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $17,378.01 / $25,703.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $2,137.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,000.00 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,412.54 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $5,754.40 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,258.93 / $2,041.74