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South Carolina 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
$218.78 / $7,943.28 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $181.97 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $7,244.36 / $12,882.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $151.36 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $234.42 / $363.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $245.47 / $380.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,202.26 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $213.80 / $389.05