go back

West Virginia 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
$995.63 / $995.63 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.63 / $1,144.54 / $1,247.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.33 / $1,068.33 / $1,068.33
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$103.68 / $103.68 / $103.68