go back

Oklahoma 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
$1,170.19 / $3,684.00 / $18,600.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.78 / $2,744.00 / $13,541.98
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,314.53 / $1,314.53 / $1,314.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.00 / $6,980.00 / $13,541.98