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New Mexico 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
$1,000.00 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,741.00 / $19,741.00 / $19,741.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,743.97 / $52,164.03 / $80,946.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,609.00 / $21,608.00 / $23,186.00