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Illinois 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
$1,018.00 / $3,221.00 / $6,614.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,811.00 / $10,895.24 / $10,895.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,336.93 / $16,195.64 / $20,924.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,276.00 / $8,141.00 / $21,651.00