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Kansas 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
$2,800.00 / $6,071.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,800.00 / $5,467.00 / $10,239.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.00 / $8,000.00 / $17,483.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,729.00 / $8,000.00 / $17,483.00