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Oklahoma 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
$1,346.00 / $4,192.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,683.00 / $4,195.00 / $7,310.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,405.80 / $21,144.87 / $33,649.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,960.00 / $9,469.00 / $20,812.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,960.00 / $9,469.00 / $20,190.00