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New Mexico 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
$2,095.00 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63,246.00 / $63,246.00 / $63,246.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,511.62 / $80,382.08 / $127,988.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,609.00 / $21,608.00 / $23,186.00