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Missouri 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
$1,949.84 / $4,466.84 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $8,511.38 / $15,488.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $5,248.07 / $19,054.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $4,786.30 / $16,595.87