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Alaska rates for HCPCS 34203

Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,727.41 / $10,900.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,147.14 / $5,238.55 / $7,491.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,147.14 / $5,238.55 / $7,491.13