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Louisiana 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
$739.00 / $2,562.00 / $4,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,072.00 / $3,685.00 / $10,895.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,770.75 / $17,160.37 / $24,840.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.00 / $8,932.00 / $19,270.00