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South Carolina 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
$8,960.00 / $11,018.00 / $20,498.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,062.00 / $9,062.00 / $11,269.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,784.39 / $8,049.21 / $13,640.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,865.18 / $9,865.18 / $12,676.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,938.81 / $29,938.81 / $29,938.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,881.68 / $6,881.68 / $6,881.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,627.00 / $25,620.00