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Georgia 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
$4,365.16 / $5,623.41 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $22,908.68 / $22,908.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,677.35 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $7,762.47 / $17,378.01