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Connecticut 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
$4,458.68 / $7,629.00 / $10,492.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,098.00 / $12,905.00 / $17,206.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,706.00 / $11,710.00 / $21,600.00