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Ohio 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
$3,467.37 / $7,762.47 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $11,748.98 / $18,197.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $8,511.38 / $60,255.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $22,387.21 / $22,387.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $11,748.98 / $16,218.10