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West Virginia rates for HCPCS 35355

Thromboendarterectomy, including patch graft, if performed; iliofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,412.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$173.78 / $173.78 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58