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Utah 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
$3,038.00 / $5,743.00 / $8,802.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,992.00 / $2,843.00 / $7,679.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,616.70 / $20,988.87 / $30,397.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $10,927.00 / $24,613.00