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Virginia 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
$3,226.00 / $6,827.70 / $11,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.00 / $3,633.00 / $6,827.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,955.00 / $11,210.00 / $17,424.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,902.00 / $9,929.00 / $16,145.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,902.00 / $9,929.00 / $16,145.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,367.00 / $13,296.00 / $26,537.00