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Oregon 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
$1,819.70 / $7,943.28 / $30,902.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,862.09 / $2,290.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,862.09 / $13,489.63
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,737.80 / $1,862.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,584.89 / $2,344.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $17,378.01 / $21,379.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $20,892.96 / $26,302.68