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Maine rates for HCPCS C9767

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,848.93 / $15,848.93 / $15,848.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117,489.76 / $117,489.76 / $117,489.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,848.93 / $15,848.93 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,197.01 / $18,197.01 / $70,794.58