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Iowa 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
$4,146.00 / $4,964.00 / $9,185.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,760.00 / $4,760.00 / $4,760.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $21,642.81 / $21,642.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,689.00 / $14,149.26 / $30,268.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,795.64 / $12,482.91 / $15,506.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,220.00 / $9,346.00 / $14,242.22