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Alaska rates for HCPCS 35522

Bypass graft, with vein; axillary-brachial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,383.25 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,171.61 / $6,498.24 / $6,498.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,138.25 / $4,138.25 / $4,138.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.70 / $6,498.24 / $9,292.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,777.75 / $7,213.50 / $9,347.45
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,293.75 / $4,980.75 / $7,798.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.70 / $6,498.24 / $9,292.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.75 / $5,307.00 / $8,100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,310.60 / $4,965.89 / $7,626.39