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Washington 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
$4,466.84 / $13,182.57 / $28,183.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,964.78 / $10,964.78 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $17,782.79 / $17,782.79
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $48,977.88 / $83,176.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $26,915.35 / $26,915.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $30,902.95 / $60,255.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $40,738.03 / $69,183.10