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Virginia 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
$3,235.94 / $6,760.83 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $8,317.64 / $22,908.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $12,302.69 / $17,782.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,884.42 / $33,884.42 / $33,884.42
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $10,964.78 / $16,982.44
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $10,964.78 / $16,982.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $12,882.50 / $29,512.09