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Iowa rates for HCPCS 35304

Teaec W/Graft Tibioperoneal Trunk Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,277.00 / $5,549.00 / $11,100.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.47 / $1,843.71 / $3,892.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,866.45 / $2,974.70 / $7,305.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.29 / $2,718.32 / $3,674.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,847.00 / $7,305.00