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Oklahoma 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
$1,288.25 / $3,890.45 / $9,772.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $6,165.95 / $15,135.61
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,762.47 / $14,125.38