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California rates for HCPCS C9764

Revascularization Endovascular Open Or Percutaneous Any Vessel(S); With Intravascular Lithotripsy Includes Angioplasty Within The Same Vessel(S) When Performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,566.00 / $8,774.00 / $20,135.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,382.00 / $23,029.85 / $23,029.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,108.00 / $9,324.00 / $18,150.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.00 / $317.00 / $330.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.60 / $8,596.17 / $33,528.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,794.78 / $9,794.78 / $11,575.65
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,870.60 / $10,870.60 / $11,414.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,794.78 / $9,794.78 / $11,575.65
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.50 / $12.50 / $12.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $13,722.00 / $29,571.00