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Arizona rates for HCPCS 35666

Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.25 / $6,640.00 / $10,860.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.68 / $1,785.58 / $4,435.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$304.80 / $304.80 / $570.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $6,416.00