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Virginia 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
$672.52 / $5,980.00 / $14,867.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.39 / $647.27 / $798.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.91 / $824.11 / $1,217.64
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.33 / $814.12 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,367.00 / $13,296.00 / $26,537.00