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Arizona rates for HCPCS 35303

Thromboendarterectomy, including patch graft, if performed; popliteal artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.25 / $6,640.00 / $10,860.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.92 / $1,794.00 / $4,466.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$289.99 / $289.99 / $544.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.00 / $2,336.00 / $6,416.00