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Illinois 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
$1,174.90 / $4,265.80 / $14,125.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $8,128.31 / $16,595.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,548.82 / $5,370.32
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,456.54 / $14,791.08