go back

Utah rates for HCPCS 35876

Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.89 / $4,387.00 / $9,932.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,888.83 / $10,419.48 / $15,184.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00