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Mississippi 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
$784.00 / $1,831.00 / $2,010.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,424.31 / $18,424.31 / $20,879.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,151.22 / $8,151.22 / $8,151.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,835.56 / $7,835.56 / $7,835.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.00 / $8,766.00 / $15,000.00