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Iowa rates for HCPCS C9773

Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,786.30 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $18,197.01 / $18,197.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $16,982.44 / $16,982.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $22,908.68 / $53,703.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $16,218.10 / $47,863.01