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Maine rates for HCPCS 35642

Bypass graft, with other than vein; carotid-vertebral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,230.27 / $2,089.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $12,022.64 / $16,218.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,380.38 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,348.96 / $2,089.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,348.96 / $1,737.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,479.11 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,412.54 / $1,819.70