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Iowa rates for HCPCS 35654

Bypass graft, with other than vein; axillary-femoral-femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,370.32 / $7,943.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,238.72 / $4,073.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,388.44 / $7,244.36
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$602.56 / $602.56 / $602.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,467.37 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $7,413.10