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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
$8,960.00 / $11,018.00 / $20,498.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,062.00 / $9,062.00 / $11,269.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,667.47 / $16,436.81 / $27,637.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,637.10 / $9,637.10 / $12,383.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,163.81 / $14,163.81 / $14,163.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,362.41 / $9,362.41 / $9,362.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $21,721.00 / $33,299.00