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Alaska rates for HCPCS 35634

Bypass graft, with other than vein; iliorenal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,238.72 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,570.40 / $13,803.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $5,128.61 / $12,022.64
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $6,918.31 / $10,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $9,772.37 / $14,125.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,698.24 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $4,897.79 / $11,220.18