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New Jersey 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
$4,118.00 / $6,976.00 / $11,557.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,895.24 / $10,895.24 / $10,895.24
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,250.00 / $22,250.00 / $55,995.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,066.00 / $12,315.00 / $27,214.00