go back

New Hampshire rates for HCPCS 35650

Bypass graft, with other than vein; axillary-axillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,168.69 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,202.26 / $3,162.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $9,772.37 / $15,135.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $2,187.76 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,398.83 / $2,951.21
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,905.46 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,905.46 / $3,630.78