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Kentucky rates for HCPCS 35304

Teaec W/Graft Tibioperoneal Trunk Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $1,226.86 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,503.33 / $8,650.50 / $13,595.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.34 / $1,630.26 / $1,880.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.12 / $1,438.12 / $1,438.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00