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Pennsylvania 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
$1,412.54 / $6,165.95 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $15,848.93 / $15,848.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $5,370.32 / $9,549.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $6,025.60 / $15,848.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $8,128.31 / $56,234.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $16,218.10