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Alaska rates for HCPCS 35697

Rimpltj Visc Art Infrarnl Aortic Prosth Ea Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.10 / $10,900.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.77 / $818.40 / $1,170.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.77 / $818.40 / $1,170.31