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Ohio 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
$3,444.00 / $7,971.00 / $14,014.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,672.00 / $23,029.85 / $23,029.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.00 / $5,945.00 / $29,406.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65,624.34 / $65,624.34 / $65,624.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104,998.95 / $104,998.95 / $104,998.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,448.00 / $13,382.00