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Texas 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
$1,096.48 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $10,964.78 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $16,218.10 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $10,964.78 / $10,964.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,657.95 / $42,657.95 / $42,657.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,548.13 / $12,022.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $8,709.64 / $21,379.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $446.68 / $3,630.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $10,964.78 / $18,620.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $10,964.78 / $23,442.29