go back

West 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
$619.86 / $619.86 / $3,550.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.54 / $708.53 / $771.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.98 / $664.98 / $664.98