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Idaho rates for HCPCS 35634

Bypass graft, with other than vein; iliorenal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,981.13 / $2,239.71 / $5,200.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,378.44 / $2,911.54 / $3,250.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,058.17 / $4,058.61 / $6,656.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,767.33 / $2,935.05 / $3,354.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,629.13 / $2,929.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,152.51 / $3,449.14 / $3,493.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,484.01 / $2,313.01 / $3,794.36