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New York rates for HCPCS 35654

Bypass graft, with other than vein; axillary-femoral-femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,630.78 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $2,290.87 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$229.09 / $229.09 / $229.09
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,511.89 / $4,897.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $4,168.69 / $9,332.54
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,659.59 / $5,370.32