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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,895.24 / $10,895.24 / $10,895.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.54 / $4,934.39 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.36 / $4,614.26 / $10,491.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,953.48 / $13,953.48 / $13,953.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,545.00 / $11,984.76 / $21,274.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,560.00 / $10,316.00 / $16,841.00