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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
$983.00 / $3,682.00 / $12,480.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,895.24 / $10,895.24 / $10,895.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,938.21 / $15,566.56 / $31,032.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,872.17 / $10,872.17 / $10,872.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,895.24 / $10,895.24 / $11,657.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,872.17 / $10,872.17 / $10,895.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,409.00 / $9,027.00 / $20,955.00