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West Virginia rates for HCPCS 35665

Bypass graft, with other than vein; iliofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.39 / $1,229.39 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.17 / $1,414.33 / $1,540.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.09 / $1,322.09 / $1,322.09
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$128.18 / $128.18 / $128.18