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Pennsylvania rates for HCPCS 35683

Bypass graft; autogenous composite, 3 or more segments of vein from 2 or more locations (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $5,754.40 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $478.63 / $1,258.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $602.56 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $812.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $660.69
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $933.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $4,265.80 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $537.03 / $1,380.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $645.65 / $1,000.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $416.87 / $549.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $407.38 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,570.40 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $524.81 / $851.14