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Texas rates for HCPCS 35304

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $3,596.00 / $10,836.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.76 / $1,133.76 / $1,133.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $12,509.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.47 / $1,568.13 / $2,828.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.47 / $1,586.24 / $3,470.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00