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Texas 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
$1,096.48 / $3,890.45 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $15,848.93 / $15,848.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $25,703.96 / $51,286.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $18,197.01 / $18,197.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,443.60 / $72,443.60 / $72,443.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,715.35 / $12,022.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $9,120.11 / $38,018.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $18,197.01 / $26,915.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $10,964.78 / $23,988.33