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West 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
$1,341.44 / $1,341.44 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.23 / $1,540.86 / $1,678.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.12 / $1,438.12 / $1,438.12