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West Virginia rates for HCPCS 34201

Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.61 / $1,074.61 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.25 / $1,232.53 / $1,342.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.16 / $1,151.16 / $1,151.16
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$111.58 / $111.58 / $111.58