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Georgia 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
$4,194.00 / $5,063.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,389.00 / $23,029.85 / $23,029.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,860.62 / $5,304.99 / $10,832.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $9,193.00 / $18,613.00