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Arizona rates for HCPCS C9766

Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(s), when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,906.24 / $34,906.24 / $34,906.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,107.14 / $7,750.40 / $12,676.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.20 / $1,937.60 / $2,422.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,486.88 / $23,486.88 / $23,486.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,545.00 / $16,841.00 / $49,915.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,560.00 / $10,316.00 / $16,841.00