go back

West 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
$1,174.90 / $1,174.90 / $1,412.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,862.09 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$186.21 / $186.21 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58