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Virginia 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
$2,884.03 / $7,079.46 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $9,332.54 / $15,848.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $22,387.21 / $38,018.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,589.25 / $18,197.01 / $22,387.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $22,908.68 / $22,908.68
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $15,135.61 / $30,199.52
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $15,135.61 / $30,199.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $18,620.87 / $40,738.03