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Utah 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
$660.69 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $588.84 / $660.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,258.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $912.01 / $1,230.27
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $933.25 / $1,318.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $645.65 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $524.81 / $851.14