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Indiana rates for HCPCS 35304

Teaec W/Graft Tibioperoneal Trunk Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.08 / $1,403.01 / $4,846.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $10,577.42 / $18,643.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.45 / $1,526.43 / $2,453.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00