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South 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
$8,960.00 / $11,018.00 / $20,498.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,062.00 / $9,062.00 / $11,269.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,264.37 / $26,291.21 / $44,206.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,805.56 / $14,805.56 / $19,025.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,436.56 / $23,436.56 / $23,436.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,747.71 / $16,747.71 / $16,747.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $21,721.00 / $33,299.00