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California rates for HCPCS C9765

Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $9,549.93 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $12,022.64 / $15,848.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $10,715.19 / $17,782.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $316.23 / $331.13
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $43,651.58 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $15,848.93 / $18,620.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,197.01 / $18,197.01 / $19,054.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70,794.58 / $70,794.58 / $70,794.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $15,488.17 / $22,387.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $17,782.79 / $38,904.51