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Kansas 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
$2,818.38 / $5,754.40 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $21,877.62 / $22,908.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $13,489.63 / $14,125.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $6,165.95 / $12,882.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $6,918.31 / $12,302.69