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Ohio rates for HCPCS 35363

Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,790.05 / $5,756.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.05 / $1,790.05 / $3,612.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,638.88 / $7,944.89 / $15,216.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.62 / $1,985.13 / $3,368.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.96 / $2,271.52 / $2,867.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.32 / $1,789.79 / $2,982.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.62 / $2,141.14 / $3,442.44
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.46 / $2,337.69 / $3,391.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.16 / $1,381.56 / $2,112.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.10 / $2,170.34 / $3,366.71