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Texas 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
$1,122.02 / $4,168.69 / $14,125.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,413.10 / $14,125.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $50,118.72 / $50,118.72
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,819.70 / $8,128.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $8,317.64 / $17,378.01