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Hawaii 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
$2,747.00 / $8,431.00 / $10,303.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.55 / $1,031.51 / $1,203.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $3,028.00 / $3,028.00