go back

Minnesota 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
$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