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Oklahoma 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
$1,380.38 / $3,981.07 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $15,488.17 / $15,488.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $19,498.45 / $32,359.37
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
$3,235.94 / $9,549.93 / $21,379.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $12,302.69 / $21,379.62