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Maryland 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
Professional
Modifier
Low / Median / High Price
$55,767.00 / $55,767.00 / $55,767.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,123.00 / $5,123.00 / $5,123.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,178.35 / $13,178.35 / $13,178.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,937.73 / $9,937.73 / $9,937.73