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Nebraska 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
$5,463.36 / $10,975.77 / $22,021.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.00 / $9,185.68 / $12,765.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,638.95 / $13,993.13 / $27,067.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,496.00 / $14,117.05 / $18,892.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,008.02 / $12,822.94 / $17,799.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00