go back

Hawaii 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
$2,747.00 / $8,431.00 / $10,303.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.08 / $652.45 / $761.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $3,028.00 / $3,028.00