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California rates for HCPCS 35304

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.23 / $9,639.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,640.00 / $8,323.29 / $17,015.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $98.70 / $13,719.51
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.70 / $1,260.05 / $1,638.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.05 / $1,461.89 / $2,690.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,427.67 / $12,867.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.24 / $1,575.06 / $2,127.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,319.00 / $20,279.00