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Connecticut 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
$4,458.68 / $7,629.00 / $10,492.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,098.00 / $12,905.00 / $17,206.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,943.00 / $10,797.00 / $18,470.00