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Virginia rates for HCPCS 35303

Thromboendarterectomy, including patch graft, if performed; popliteal artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.58 / $4,771.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,480.37 / $9,394.00 / $12,872.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.85 / $1,337.83 / $1,649.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,393.18 / $1,677.58 / $2,368.67
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$272.35 / $300.89 / $345.49
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.00 / $1,631.21 / $4,462.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.00 / $3,295.00 / $5,790.00