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Virginia rates for HCPCS 35633

Bypass graft, with other than vein; ilio-mesenteric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,253.37 / $5,048.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,480.37 / $9,394.00 / $12,872.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.17 / $2,154.19 / $2,656.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,054.63 / $2,726.23 / $3,808.20
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,864.15 / $2,522.42 / $4,749.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00