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Idaho rates for HCPCS 35363

Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.73 / $2,057.71 / $4,777.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,184.31 / $2,673.89 / $2,985.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,892.84 / $2,525.98 / $6,114.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,544.23 / $2,895.78 / $3,083.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,416.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,895.78 / $3,168.54 / $3,208.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.07 / $2,430.00 / $3,707.50