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Pennsylvania rates for HCPCS C1761

Catheter, transluminal intravascular lithotripsy, coronary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.70 / $222.70 / $222.70
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $967.00 / $967.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,700.00 / $7,402.50 / $12,613.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.70 / $222.70 / $222.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $595.00 / $4,300.00