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Alaska rates for HCPCS 35612

Bypass graft, with other than vein; subclavian-subclavian

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.78 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,270.88 / $5,800.12 / $5,800.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,557.36 / $3,557.36 / $3,557.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.98 / $5,800.12 / $8,294.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,487.44 / $6,459.60 / $8,345.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,845.00 / $4,460.20 / $6,678.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.98 / $5,800.12 / $8,294.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.84 / $4,545.00 / $6,970.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,845.88 / $4,268.82 / $6,579.75