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Indiana 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
$168.52 / $186.12 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.50 / $176.60 / $227.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.20 / $231.20 / $446.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.46 / $231.20 / $319.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.75 / $178.11 / $208.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.75 / $164.41 / $205.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.66 / $232.78 / $382.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.22 / $205.52 / $311.08