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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
$933.25 / $3,388.44 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,317.64 / $11,748.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $3,801.89 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $6,456.54 / $12,882.50