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New York 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
$1,486.75 / $4,792.00 / $10,686.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,079.00 / $7,264.00 / $12,538.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,667.21 / $1,667.21 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.10 / $1,348.10 / $13,296.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,961.43 / $3,438.40
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,348.10 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.00 / $6,700.00 / $16,403.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,467.63 / $1,467.63 / $3,987.42