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New York 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
$2,465.00 / $5,919.00 / $11,860.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.00 / $6,962.00 / $11,080.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $9,750.00 / $16,411.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,227.90 / $7,227.90 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,937.73 / $9,937.73 / $9,937.73
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $7,227.90 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,937.73 / $9,937.73 / $9,937.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.00 / $10,317.00 / $29,819.00