go back

Texas 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
$983.00 / $3,682.00 / $12,480.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,976.00 / $18,028.12 / $18,028.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,136.32 / $24,899.20 / $49,637.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,442.93 / $25,442.93 / $25,442.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,056.16 / $17,056.16 / $17,056.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.58 / $356.58 / $356.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,028.12 / $18,028.12 / $19,290.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,056.16 / $17,056.16 / $18,028.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.58 / $356.58 / $356.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,409.00 / $9,027.00 / $20,955.00