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Alaska rates for HCPCS 35633

Bypass graft, with other than vein; ilio-mesenteric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,729.41 / $10,900.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,403.76 / $11,004.52 / $15,736.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,403.76 / $11,004.52 / $15,736.46