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Texas 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
$909.04 / $3,596.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,098.89 / $7,353.90 / $13,972.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.50 / $824.50 / $824.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $13,856.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.37 / $1,194.54 / $2,487.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.37 / $1,223.78 / $2,517.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.00 / $7,184.00 / $16,000.00