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New Jersey 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
$4,466.84 / $7,762.47 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $12,302.69 / $22,908.68
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $36,307.81 / $57,543.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,772.37 / $25,118.86