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Indiana rates for HCPCS 35633

Bypass graft, with other than vein; ilio-mesenteric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,079.46 / $2,184.07 / $4,846.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $10,577.42 / $18,643.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,796.29 / $2,366.87 / $3,803.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00