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South Carolina 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
$2,570.40 / $12,022.64 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $8,912.51 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $4,897.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $20,417.38 / $25,703.96