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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.21 / $202.64 / $473.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.34 / $264.83 / $295.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.71 / $248.03 / $606.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.85 / $286.02 / $304.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $238.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.02 / $311.92 / $316.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.90 / $246.99 / $350.19