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Utah rates for HCPCS 35363

Teaec W/Wo Patch Graft Combined Aortoiliofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,709.62 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,709.62 / $2,709.62 / $4,777.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,216.33 / $2,411.42 / $2,699.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.11 / $1,049.54 / $1,495.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.69 / $3,385.98 / $3,983.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.27 / $1,852.66 / $3,397.68