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Maine rates for HCPCS 35363

Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,946.94 / $2,412.41 / $2,412.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,010.53 / $14,279.49 / $16,101.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,678.78 / $2,058.39 / $3,331.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.04 / $2,412.41 / $3,365.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,765.22 / $1,964.96 / $3,057.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,946.94 / $2,412.41 / $2,412.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,803.97 / $2,492.07 / $3,045.80