go back

Georgia 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
$4,194.00 / $5,333.00 / $9,488.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,389.00 / $10,895.24 / $10,895.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,226.13 / $6,105.48 / $13,137.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,303.00 / $10,242.00 / $20,037.00