go back

Pennsylvania 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
$1,426.00 / $4,993.00 / $8,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,799.00 / $34,906.24 / $34,906.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,986.39 / $17,907.25 / $108,380.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $5,350.00 / $9,617.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.00 / $2,616.00 / $34,906.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $7,000.00 / $12,076.00