go back

Idaho 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
$4,786.30 / $5,495.41 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $8,317.64 / $14,454.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,862.09 / $4,786.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $12,302.69 / $17,782.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $26,915.35 / $29,512.09