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Louisiana 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
$831.82 / $2,859.00 / $5,432.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,532.30 / $8,441.27 / $11,757.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,815.62 / $3,815.62 / $3,815.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $5,780.00 / $12,353.00