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Hawaii rates for HCPCS 35633

Bypass graft, with other than vein; ilio-mesenteric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,960.17 / $2,138.36 / $2,494.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00