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Tennessee 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
$1,233.99 / $4,069.00 / $10,746.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,171.00 / $6,434.00 / $9,419.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,763.69 / $17,070.15 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,362.00