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Kentucky 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
$787.00 / $2,747.00 / $9,311.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,895.24 / $10,895.24 / $10,895.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,755.00 / $5,350.00 / $5,944.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.00 / $6,186.00 / $15,387.00