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Louisiana 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
$739.00 / $2,562.00 / $4,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,072.00 / $3,685.00 / $23,029.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,885.05 / $8,488.09 / $12,281.56
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,186.44 / $10,186.44 / $10,186.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $5,780.00 / $12,353.00