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Virginia 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
$1,388.54 / $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
$1,111.45 / $1,333.74 / $1,644.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.66 / $1,675.67 / $2,346.63
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.00 / $1,619.99 / $4,462.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00