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Minnesota 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
$6,205.00 / $6,575.00 / $33,657.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,992.00 / $1,992.00 / $2,843.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,655.83 / $40,442.72 / $70,912.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,937.73 / $9,937.73 / $9,937.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,527.00 / $12,586.00 / $59,406.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,028.00 / $11,496.00 / $21,528.00