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Maine 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
$23,029.85 / $23,029.85 / $23,029.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70,126.73 / $70,126.73 / $70,126.73