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Virginia rates for HCPCS 35355

Thromboendarterectomy, including patch graft, if performed; iliofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.90 / $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
$934.98 / $1,121.98 / $1,383.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.68 / $1,428.85 / $2,121.67
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,466.29 / $2,680.05 / $3,619.28
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$328.84 / $357.34 / $482.57
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$230.19 / $250.14 / $337.80
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.89 / $1,382.59 / $4,462.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00