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Michigan 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
$213.80 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $190.55 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $467.74 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $229.09 / $251.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $549.54 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $199.53 / $281.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $218.78 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,258.93 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $229.09 / $302.00