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West Virginia rates for HCPCS 35633

Bypass graft, with other than vein; ilio-mesenteric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $2,089.81 / $2,089.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,076.42 / $2,397.52 / $2,612.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.02 / $2,238.02 / $2,238.02