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Utah rates for HCPCS 35634

Bypass Graft W/Other Than Vein Iliorenal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,588.87 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,588.87 / $2,588.87 / $5,200.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,352.17 / $2,515.54 / $4,971.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.11 / $1,139.51 / $1,648.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,251.90 / $3,558.05 / $4,610.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.20 / $2,256.65 / $3,813.66