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Virginia 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
$1,069.19 / $5,980.00 / $14,867.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.45 / $1,030.14 / $1,270.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.65 / $1,303.44 / $1,943.74
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$209.20 / $229.27 / $263.68
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.47 / $1,271.38 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,367.00 / $13,296.00 / $26,537.00