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Nebraska 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
$7,079.46 / $7,943.28 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $15,848.93 / $15,848.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $19,952.62 / $38,904.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,197.01 / $19,952.62 / $20,892.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $15,488.17 / $30,199.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $13,489.63 / $24,547.09