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Mississippi 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
$873.00 / $1,836.00 / $11,049.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,115.77 / $9,115.77 / $10,027.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,709.25 / $2,709.25 / $2,709.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,021.01 / $8,021.01 / $8,021.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $5,800.00 / $14,043.00