go back

Michigan rates for HCPCS 35642

Bypass graft, with other than vein; carotid-vertebral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,174.90 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,513.56 / $1,621.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,630.78 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $1,737.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,288.25 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,890.45 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,412.54 / $1,905.46