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New Jersey 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
$4,118.00 / $6,976.00 / $11,704.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,298.00 / $23,029.85 / $23,029.85
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,984.54 / $25,268.30 / $55,995.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $10,536.00 / $23,291.00