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Indiana rates for HCPCS 35883

Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $4,897.79 / $14,125.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $19,952.62 / $27,542.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,202.26 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $11,220.18 / $17,378.01