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Atherectomy of an Abdominal Organ Artery

Texas rates for HCPCS 0235T

A catheter is passed to one of the arteries feeding the abdominal organs — such as the vessels supplying the stomach, intestines, liver or spleen — and the hardened or fatty material narrowing it is cut or shaved away from inside the vessel. X-ray imaging guides the work, and the imaging supervision and interpretation are part of the service. It covers one vessel, and each further vessel treated is billed separately.

Facilitymedian $3,715 · 10th–90th $1,000$12,0230%10%10th90th$3,715Professionalmedian $2,138 · 10th–90th $1,230$2,4550%20%10th90th$2,138$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,715.35
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,137.96
Typical High
$2,454.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,089.30
Typical High
$9,120.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$36,307.81
Typical High
$36,307.81
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$57,543.99
Median
$69,183.10
Typical High
$69,183.10
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,235.94
Typical High
$9,772.37
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,238.72
Typical High
$4,073.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,630.27
Typical High
$9,772.37
Providence
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$2,344.23
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$2,344.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,943.28