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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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,238.72 / $5,248.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,606.93 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,235.94 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,884.03 / $3,467.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,548.13 / $6,606.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,019.95 / $3,548.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,467.37 / $3,715.35
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,511.89 / $3,801.89