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Louisiana rates for HCPCS 35881

Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,691.53 / $4,365.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,317.64 / $11,748.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $1,000.00 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $6,456.54 / $12,882.50