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Virginia rates for HCPCS 35302

Thromboendarterectomy, including patch graft, if performed; superficial femoral artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.06 / $5,282.00 / $14,796.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,480.37 / $9,394.00 / $12,872.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.82 / $1,217.78 / $1,501.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.54 / $1,524.20 / $2,141.33
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,645.02 / $2,917.17 / $3,346.23
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$352.67 / $388.96 / $446.16
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$246.87 / $272.27 / $312.31
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.34 / $1,477.36 / $4,462.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00