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New York 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
$1,437.00 / $4,043.00 / $10,296.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,538.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,707.62 / $1,707.62 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.10 / $1,383.10 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,143.60 / $9,317.70
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,383.10 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.38 / $1,506.38 / $3,898.62