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Iowa 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
$4,146.00 / $4,964.00 / $9,185.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,760.00 / $4,760.00 / $4,760.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $10,239.01 / $10,239.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,398.00 / $16,293.00 / $30,268.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,008.02 / $12,822.94 / $15,148.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,542.00 / $12,871.00 / $16,293.00