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West 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
$989.63 / $989.63 / $3,550.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.19 / $1,135.39 / $1,237.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.08 / $1,061.08 / $1,061.08
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$102.94 / $102.94 / $102.94