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Indiana 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
$1,380.38 / $4,897.79 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $18,197.01 / $18,197.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $47,863.01 / $97,723.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $15,488.17 / $15,488.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $14,454.40 / $20,417.38