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Idaho rates for HCPCS 35612

Bypass graft, with other than vein; subclavian-subclavian

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.22 / $1,327.87 / $3,076.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.44 / $1,720.45 / $1,920.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.45 / $1,631.80 / $3,938.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,641.72 / $1,867.35 / $1,989.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,559.99 / $1,738.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,867.34 / $2,044.82 / $2,069.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.51 / $1,590.00 / $2,242.19