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Tennessee rates for HCPCS 35303

Thromboendarterectomy, including patch graft, if performed; popliteal artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,957.68 / $2,683.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.00 / $2,387.00 / $4,235.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $12,040.47 / $12,362.94
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$289.99 / $559.46 / $559.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,512.00 / $4,626.00