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Oklahoma rates for HCPCS 35634

Bypass graft, with other than vein; iliorenal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,184.76 / $2,184.76 / $2,252.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.51 / $2,488.56 / $2,911.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $2,315.65 / $6,272.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.76 / $2,296.25 / $12,414.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.66 / $2,133.26 / $3,036.07