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Texas 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
$969.00 / $3,596.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,923.76 / $6,894.28 / $14,523.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.27 / $1,009.97 / $1,009.97
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
$1,043.86 / $1,343.34 / $2,587.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.86 / $1,366.11 / $2,754.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.00 / $7,184.00 / $16,000.00