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Montana 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
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,480.75 / $52,480.75 / $52,480.75
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,480.75 / $52,480.75 / $52,480.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $19,952.62 / $19,952.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $85.11