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Oklahoma 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
$1,300.00 / $3,683.00 / $18,600.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,851.78 / $6,155.68
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$570.10 / $570.10 / $570.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68