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Tennessee 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
$2,034.16 / $2,683.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,302.00 / $4,372.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $12,628.89 / $13,009.05
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$304.80 / $590.55 / $590.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00