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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
$1,174.90 / $2,630.27 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,677.35 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,762.47 / $14,125.38