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Oklahoma 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
$1,380.38 / $3,981.07 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $22,908.68 / $22,908.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $19,498.45 / $32,359.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $6,918.31 / $15,135.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,943.28 / $15,135.61