go back

Illinois rates for HCPCS C9774

Revascularization Endovascular Open Or Percutaneous Tibial/Peroneal Artery(Ies); With Intravascular Lithotripsy And Atherectomy Includes Angioplasty Within The Same Vessel (S) When Performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.00 / $3,221.00 / $6,614.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,811.00 / $18,028.12 / $18,028.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,216.51 / $25,644.26 / $33,131.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.58 / $356.58 / $356.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,276.00 / $8,141.00 / $21,651.00