go back

Iowa rates for HCPCS 35363

Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,277.00 / $4,521.08 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.53 / $2,379.52 / $8,627.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,292.48 / $4,115.60 / $4,250.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.31 / $2,663.14 / $4,858.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,788.40 / $4,021.39 / $7,305.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,942.36 / $3,603.24 / $6,449.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,652.88 / $3,603.24 / $4,663.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,652.88 / $3,603.24 / $4,663.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,847.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,745.09 / $3,125.99 / $5,022.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,512.83 / $3,180.80 / $3,742.10