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Texas 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
$905.50 / $3,849.00 / $13,004.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,998.69 / $7,124.09 / $13,788.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.32 / $3,815.62 / $3,815.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,320.03 / $4,320.03 / $4,320.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,131.00 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.44 / $781.37 / $1,317.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.44 / $806.57 / $1,629.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.00 / $7,184.00 / $16,000.00