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Utah 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
$3,038.00 / $5,743.00 / $8,802.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,992.00 / $2,843.00 / $7,679.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,937.73 / $9,937.73 / $9,937.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,392.67 / $33,559.12 / $48,451.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $10,927.00 / $24,613.00