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Minnesota 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
Facility
Modifier
Low / Median / High Price
$6,606.93 / $7,079.46 / $33,884.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $15,848.93 / $15,848.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $50,118.72 / $128,824.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,589.25 / $46,773.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $11,220.18 / $46,773.51