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Texas rates for HCPCS 35650

Bypass graft, with other than vein; axillary-axillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,202.26 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,548.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,412.54 / $2,398.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $10,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,471.29 / $10,471.29 / $10,471.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,698.24 / $5,128.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,318.26 / $1,659.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $794.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,445.44 / $2,511.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,412.54 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,454.71 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,174.90 / $1,819.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,000.00