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Georgia 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
$4,194.00 / $5,063.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,389.00 / $15,443.64 / $15,443.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,226.13 / $6,105.48 / $13,137.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,937.73 / $9,937.73 / $9,937.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,303.00 / $10,242.00 / $20,037.00