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Idaho rates for HCPCS 35647

Bypass graft, with other than vein; aortofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $6,309.57 / $8,912.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,951.21 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68