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Illinois 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
$1,129.00 / $3,636.00 / $7,723.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,811.00 / $23,029.85 / $23,029.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,581.58 / $16,195.64 / $20,924.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.00 / $7,400.00 / $14,716.00