go back

Indiana 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
$1,386.00 / $4,846.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.00 / $1,386.00 / $36,901.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,451.00 / $15,819.00 / $28,558.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89,999.10 / $89,999.10 / $89,999.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,499.48 / $65,624.34 / $89,999.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,390.82 / $10,390.82 / $10,390.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,296.00 / $17,380.00