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Georgia 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
$900.99 / $5,367.00 / $9,512.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,571.60 / $8,545.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.19 / $800.79 / $1,693.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $9,193.00 / $18,613.00