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Arizona 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
$1,965.00 / $4,521.00 / $9,112.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.25 / $6,640.00 / $10,860.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,544.38 / $5,544.38 / $5,544.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.47 / $1,558.00 / $9,978.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$223.69 / $223.69 / $1,618.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,315.00 / $7,341.00 / $11,396.00