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Illinois 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
$1,017.00 / $3,558.00 / $15,500.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,811.00 / $15,443.64 / $15,443.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,055.93 / $25,644.26 / $33,131.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,937.73 / $9,937.73 / $9,937.73
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,276.00 / $8,141.00 / $21,651.00