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Nebraska 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
$5,463.36 / $10,975.77 / $22,021.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.00 / $9,185.68 / $12,765.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,165.50 / $10,739.86 / $20,774.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,163.00 / $9,696.00 / $18,892.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,630.04 / $13,060.46 / $18,220.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00