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Maryland 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
Professional
Modifier
Low / Median / High Price
$36,793.00 / $36,793.00 / $36,793.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,175.92 / $8,175.92 / $8,175.92