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Indiana 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
$1,386.00 / $4,846.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.00 / $1,386.00 / $17,458.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.00 / $24,214.00 / $47,628.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,150.58 / $10,150.58 / $10,150.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,526.00 / $14,061.00 / $19,962.00