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West Virginia 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
$1,348.15 / $1,348.15 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.71 / $1,541.84 / $1,679.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.75 / $1,445.75 / $1,445.75
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$140.59 / $140.59 / $140.59