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Washington 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
$4,500.00 / $14,464.32 / $27,982.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,815.07 / $15,815.07 / $15,815.07
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,627.30 / $49,692.55 / $96,135.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,004.79 / $30,004.79 / $30,004.79
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,402.31 / $58,180.89 / $145,850.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,001.45 / $42,437.00 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,824.51 / $49,692.55 / $95,056.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $13,441.00 / $26,100.00