go back

Tennessee 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
$1,500.00 / $4,069.00 / $10,746.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,014.00 / $6,038.00 / $9,272.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,999.21 / $17,070.15 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$223.69 / $1,618.01 / $1,618.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,362.00