go back

South Carolina 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
$7,943.28 / $11,220.18 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,964.78 / $10,964.78 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $14,454.40 / $28,183.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $9,549.93 / $12,302.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $16,218.10 / $18,620.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $22,387.21 / $37,153.52