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North Carolina 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
$1,615.00 / $8,442.00 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.90 / $8,442.00 / $10,561.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,829.00 / $22,655.00 / $29,047.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00