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Iowa rates for HCPCS C9765

Revascularization Endovascular Open Or Percutaneous Any Vessel(S); 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
$4,146.00 / $4,964.00 / $9,185.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,760.00 / $4,760.00 / $4,760.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $32,803.91 / $32,803.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,398.00 / $19,377.29 / $47,928.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,854.14 / $20,120.57 / $24,994.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,542.00 / $12,871.00 / $16,293.00