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Indiana rates for HCPCS 35303

Thromboendarterectomy, including patch graft, if performed; popliteal artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.13 / $1,386.00 / $4,846.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $10,577.42 / $18,643.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.31 / $1,469.58 / $2,361.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,568.27 / $5,660.00 / $11,929.00