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Virginia 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
$3,226.00 / $6,827.70 / $11,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.00 / $3,633.00 / $6,827.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
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
$8,531.00 / $11,336.00 / $13,241.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,937.73 / $9,937.73 / $9,937.73
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,929.00 / $13,902.00 / $28,345.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,929.00 / $13,902.00 / $28,345.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,301.00 / $20,974.00 / $40,876.00