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Texas 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
$983.00 / $3,682.00 / $12,480.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,976.00 / $15,443.64 / $15,443.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,818.54 / $15,358.14 / $31,013.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,315.09 / $16,315.09 / $16,315.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,939.05 / $17,939.05 / $17,939.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,937.73 / $9,937.73 / $9,937.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,443.64 / $15,443.64 / $16,524.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,443.64 / $15,443.64 / $17,939.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,937.73 / $9,937.73 / $9,937.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,409.00 / $9,027.00 / $20,955.00