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Alaska rates for HCPCS 35876

Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.47 / $13,413.92 / $20,143.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.01 / $5,213.70 / $7,455.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.01 / $5,213.70 / $7,455.59