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Texas 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
$993.00 / $3,682.00 / $12,729.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,976.00 / $23,029.85 / $23,029.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,656.68 / $7,777.64 / $15,505.74
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,186.44 / $10,186.44 / $10,186.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,129.48 / $11,129.48 / $11,129.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,029.85 / $23,029.85 / $24,641.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,129.48 / $11,129.48 / $23,029.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.00 / $7,123.00 / $16,000.00