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Oklahoma rates for HCPCS 35303

Thromboendarterectomy, including patch graft, if performed; popliteal artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $3,684.00 / $18,600.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,819.24 / $6,155.68
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$544.05 / $544.05 / $544.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $2,545.00 / $6,155.68