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Wyoming rates for HCPCS 35363

Teaec W/Wo Patch Graft Combined Aortoiliofemoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.36 / $1,601.36 / $1,601.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,658.00 / $4,125.00 / $4,950.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,481.10 / $2,489.31 / $4,206.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,094.69 / $5,279.52 / $7,128.00