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Virginia rates for HCPCS 35304

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,443.34 / $4,771.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,480.37 / $9,394.00 / $12,872.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.25 / $1,389.90 / $1,714.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.52 / $1,744.68 / $2,439.23
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.00 / $1,687.21 / $4,462.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00