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Ohio 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
$982.17 / $8,037.00 / $11,754.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.00 / $4,470.00 / $19,117.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.82 / $563.82 / $820.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,448.00 / $13,382.00