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North Carolina rates for HCPCS 35304

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.36 / $1,615.00 / $7,439.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.36 / $1,943.25 / $2,617.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,427.67 / $12,509.10