go back

Idaho rates for HCPCS 35697

Rimpltj Visc Art Infrarnl Aortic Prosth Ea Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $232.63 / $553.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00