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Arizona rates for HCPCS 35686

Creation of distal arteriovenous fistula during lower extremity bypass surgery (non-hemodialysis) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,890.45 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $186.21 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,691.53 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $162.18 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $190.55 / $269.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $316.23 / $2,041.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,230.27 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $177.83 / $275.42