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New York 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
$1,258.90 / $5,845.00 / $14,113.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,079.00 / $7,264.00 / $12,538.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.32 / $4,275.50 / $16,534.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.08 / $1,061.08 / $13,296.25
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$102.94 / $102.94 / $102.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,526.11 / $2,848.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $13,296.25 / $74,999.25
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$102.94 / $102.94 / $102.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.00 / $6,700.00 / $16,403.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.18 / $1,158.18 / $3,669.98