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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
$1,000.00 / $4,897.79 / $17,378.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $18,197.01 / $26,302.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $954.99 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $11,220.18 / $17,378.01