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Pennsylvania rates for HCPCS 35372

Teaec W/Wo Patch Graft Deep Profunda Femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.58 / $4,761.00 / $8,451.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $5,350.00 / $9,617.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.83 / $938.83 / $1,032.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,584.00 / $9,631.00