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Colorado 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
$612.83 / $5,503.00 / $23,029.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,029.85 / $23,029.85 / $23,029.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,948.00 / $14,105.00 / $28,800.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,029.85 / $23,029.85 / $38,690.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,146.00 / $13,938.00 / $28,097.00