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Arkansas rates for HCPCS C9772

Revascularization Endovascular Open Or Percutaneous Tibial/Peroneal Artery(Ies) With Intravascular Lithotripsy Includes Angioplasty Within The Same Vessel (S) When Performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.00 / $1,821.00 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.00 / $1,846.00 / $1,846.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,896.00 / $5,455.00 / $12,152.00