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Idaho 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
$4,500.00 / $34,906.19 / $34,906.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,906.19 / $34,906.19 / $34,906.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,275.02 / $44,515.87 / $57,287.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,000.00 / $24,599.00 / $65,746.00