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Washington 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 / $14,809.00 / $31,764.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,906.24 / $34,906.24 / $34,906.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,582.47 / $49,692.55 / $96,135.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,197.35 / $30,197.35 / $30,197.35
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,402.31 / $37,681.94 / $90,662.59
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,707.31 / $42,437.00 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,582.47 / $48,589.87 / $95,056.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $13,441.00 / $26,100.00