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New York 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
$2,465.00 / $5,845.00 / $11,860.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.00 / $6,962.00 / $11,080.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,583.00 / $8,134.00 / $16,083.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,227.90 / $7,227.90 / $7,227.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,543.30 / $16,543.30 / $22,182.19
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $7,227.90 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.00 / $8,597.00 / $29,819.00