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West Virginia rates for HCPCS 35303

Thromboendarterectomy, including patch graft, if performed; popliteal artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.29 / $1,296.29 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.40 / $1,481.34 / $1,613.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.32 / $1,381.32 / $1,381.32
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$133.77 / $133.77 / $133.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $765.00 / $765.00