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Pennsylvania 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
$831.76 / $5,754.40 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $186.21 / $501.19
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $269.15 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $218.78 / $316.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $257.04
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $218.78 / $371.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $4,265.80 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $208.93 / $537.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $213.80 / $389.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $213.80
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $158.49 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $645.65 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $208.93 / $338.84