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Alaska rates for HCPCS 35623

Byp Oth/Thn Vein Axillary-Popliteal/-Tibial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.73 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,623.10 / $7,302.00 / $7,302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,484.08 / $4,484.08 / $4,484.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.83 / $7,302.00 / $10,441.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,123.88 / $8,112.30 / $10,500.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,828.75 / $5,601.35 / $8,436.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.83 / $7,302.00 / $10,441.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.84 / $5,721.00 / $8,768.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,587.26 / $5,380.89 / $8,294.67