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Louisiana 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
$756.00 / $2,574.00 / $5,203.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,072.00 / $3,685.00 / $15,443.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,770.75 / $17,160.37 / $24,840.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,315.09 / $16,315.09 / $16,315.09
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
$1,215.00 / $8,932.00 / $19,270.00