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Tennessee 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
$1,804.00 / $3,401.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,600.00 / $4,069.00 / $10,234.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,512.00 / $7,194.00 / $13,623.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,052.00 / $10,886.00 / $19,168.00