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Alaska rates for HCPCS 35881

Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $12,022.64 / $16,595.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,513.56 / $7,943.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $5,623.41 / $8,128.31