go back

Missouri 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
$1,122.02 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $275.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $229.09 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $165.96 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $245.47 / $426.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $302.00 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $281.84 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $707.95 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $245.47 / $407.38