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California rates for HCPCS C9764

Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $9,549.93 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $12,022.64 / $22,908.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $10,715.19 / $17,782.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $316.23 / $331.13
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $27,542.29 / $33,884.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $11,481.54
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,220.18 / $11,220.18 / $11,748.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $22,908.68 / $33,884.42
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $14,125.38 / $28,840.32