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West Virginia 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
$1,400.00 / $1,400.00 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,895.24 / $10,895.24 / $10,895.24