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Iowa 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
$4,168.69 / $4,786.30 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $15,488.17 / $15,488.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $33,113.11 / $33,113.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $22,908.68 / $53,703.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $16,218.10 / $47,863.01