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Minnesota 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
$3,981.07 / $6,456.54 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $22,908.68 / $22,908.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $31,622.78 / $81,283.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $12,022.64 / $29,512.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $10,000.00 / $28,840.32