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Oregon 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
$7,943.28 / $13,803.84 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,488.17 / $15,488.17 / $15,488.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $16,982.44 / $20,417.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $15,488.17 / $20,417.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $42,657.95 / $42,657.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $18,620.87 / $19,498.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $79.43 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,902.95 / $48,977.88 / $70,794.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $26,302.68 / $79,432.82