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New York 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
$792.67 / $5,845.00 / $14,113.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,079.00 / $7,264.00 / $12,538.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.83 / $4,275.50 / $16,534.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.98 / $664.98 / $13,296.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $973.91 / $1,872.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $13,296.25 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.00 / $6,700.00 / $16,403.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.54 / $728.54 / $2,279.33