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Minnesota 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
$4,026.32 / $6,205.00 / $9,469.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,992.00 / $1,992.00 / $2,843.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,723.30 / $25,372.90 / $44,489.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,913.00 / $11,890.00 / $37,518.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,577.00 / $10,743.00 / $12,774.00