go back

Nebraska 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
$7,079.46 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,908.68 / $22,908.68 / $22,908.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $10,715.19 / $20,892.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,471.29 / $11,748.98 / $12,302.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $9,772.37 / $19,054.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $9,120.11 / $15,488.17