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Rhode Island 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
$2,993.72 / $3,706.14 / $3,955.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.58 / $356.58 / $356.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,074.00 / $7,819.00 / $19,195.00