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Utah rates for HCPCS 35306

Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $524.81 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $660.69 / $812.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $2,691.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,000.00 / $2,570.40
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $1,023.29 / $1,412.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $707.95 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $562.34 / $933.25