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South Carolina rates for HCPCS C9765

Revascularization Endovascular Open Or Percutaneous Any Vessel(S); 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
$8,960.00 / $11,269.00 / $20,498.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,062.00 / $9,062.00 / $11,269.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,313.35 / $10,205.78 / $26,483.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,901.19 / $15,901.19 / $20,433.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,937.73 / $9,937.73 / $9,937.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,076.73 / $20,076.73 / $20,076.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,825.06 / $17,825.06 / $17,825.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $21,721.00 / $33,299.00