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South Carolina 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
$8,716.00 / $11,025.00 / $20,498.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,062.00 / $9,062.00 / $12,994.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,186.01 / $20,797.61 / $43,789.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,117.98 / $16,117.98 / $20,711.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,559.59 / $20,559.59 / $20,559.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,899.07 / $18,899.07 / $18,899.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $21,721.00 / $33,299.00