go back

Louisiana 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
$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