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Texas 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 / $3,715.35 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $15,488.17 / $15,488.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $16,218.10 / $33,113.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $16,218.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $17,782.79 / $17,782.79
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,548.13 / $12,302.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $8,709.64 / $35,481.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $17,782.79 / $26,302.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $10,964.78 / $23,988.33