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Maine rates for HCPCS 35650

Bypass graft, with other than vein; axillary-axillary

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.55 / $1,518.04 / $1,518.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,010.53 / $14,279.49 / $16,101.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.83 / $1,296.26 / $2,055.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.11 / $1,518.04 / $2,120.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.64 / $1,237.42 / $1,925.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.55 / $1,518.04 / $1,518.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.40 / $1,544.57 / $1,925.43