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Tennessee 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
$1,096.48 / $2,630.27 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $15,488.17 / $15,488.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $10,471.29 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $16,595.87 / $16,595.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70,794.58 / $70,794.58 / $70,794.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $10,232.93 / $19,952.62