go back

California rates for HCPCS 35875

Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,645.00 / $9,697.00 / $21,960.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,403.00 / $9,557.00 / $19,252.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $20,559.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.95 / $3,801.95 / $4,493.21
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.39 / $599.50 / $4,219.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.54 / $683.20 / $1,265.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,763.69 / $17,070.15 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.36 / $799.18 / $1,194.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,696.00 / $13,784.00 / $29,571.00