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North Carolina 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
$1,659.59 / $8,709.64 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $18,197.01 / $18,197.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $21,379.62 / $43,651.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $21,379.62 / $28,840.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,608.30 / $67,608.30 / $67,608.30