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Oklahoma rates for HCPCS 35654

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,630.27 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,949.84 / $6,309.57
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$602.56 / $602.56 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,949.84 / $6,165.95