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Missouri 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
$1,760.00 / $5,560.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,043.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.41 / $1,755.10 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,390.00 / $12,989.00