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Idaho rates for HCPCS 35305

Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.72 / $2,666.04 / $4,628.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00