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Pennsylvania rates for HCPCS 35879

Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.77 / $3,964.00 / $8,451.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,571.11 / $3,571.11 / $3,571.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $5,342.00 / $8,990.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.11 / $887.11 / $1,015.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,584.00 / $9,631.00