go back

Oklahoma 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
$1,392.00 / $4,350.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,683.00 / $4,195.00 / $7,310.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,405.80 / $21,144.87 / $33,649.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.00 / $6,995.71 / $14,977.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.00 / $6,980.00 / $13,541.98