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West 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
$1,400.00 / $1,400.00 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,815.07 / $15,815.07 / $15,815.07