go back

Idaho rates for HCPCS 34490

Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.41 / $841.77 / $1,922.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.29 / $1,071.47 / $1,196.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.08 / $1,099.01 / $2,461.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.19 / $1,042.33 / $1,168.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $860.98 / $959.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,746.02 / $8,108.76 / $9,934.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.72 / $1,127.72 / $1,295.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.54 / $861.30 / $1,369.74