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North Carolina 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
$1,698.24 / $10,471.29 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $15,488.17 / $15,488.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $18,197.01 / $38,018.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $21,379.62 / $28,840.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70,794.58 / $70,794.58 / $70,794.58