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Virginia 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
$3,235.94 / $6,760.83 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $8,317.64 / $15,488.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $14,791.08 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $11,481.54 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $22,387.21 / $22,387.21
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $15,135.61 / $30,199.52
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $15,135.61 / $30,199.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $18,620.87 / $40,738.03