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Utah 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
$3,038.00 / $6,190.00 / $10,726.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,616.00 / $2,843.00 / $8,194.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,568.46 / $33,559.12 / $48,451.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $10,927.00 / $24,613.00