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New York rates for HCPCS 35666

Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,515.49 / $4,043.00 / $10,296.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,538.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,784.11 / $1,784.11 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.75 / $1,445.75 / $7,227.90
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$140.59 / $140.59 / $140.59
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $2,112.21 / $3,952.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,445.75 / $74,999.25
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$140.59 / $140.59 / $140.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,581.30 / $1,581.30 / $4,905.72