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Arizona rates for HCPCS 35363

Teaec W/Wo Patch Graft Combined Aortoiliofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.02 / $1,837.22 / $8,183.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.25 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.27 / $1,571.02 / $1,963.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,649.48 / $1,941.57 / $2,790.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $2,097.62 / $4,435.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.27 / $1,889.99 / $11,406.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,193.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.27 / $1,836.01 / $3,025.85