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Alaska rates for HCPCS 35304

Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,668.34 / $10,900.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,543.56 / $7,045.80 / $10,075.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,543.56 / $7,045.80 / $10,075.49