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Indiana 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
$1,042.25 / $2,472.00 / $17,225.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $10,076.00 / $23,814.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.68 / $1,051.06 / $1,212.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,033.31 / $4,033.31 / $4,033.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,296.00 / $17,380.00