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Nebraska rates for HCPCS C9767

Revascularization Endovascular Open Or Percutaneous Any Vessel(S); 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
$5,724.00 / $10,915.56 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.00 / $1,736.36 / $12,082.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,172.22 / $19,955.61 / $38,600.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,496.00 / $15,622.00 / $29,914.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,001.45 / $22,212.83 / $29,768.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00