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Virginia 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
$3,226.00 / $6,827.70 / $11,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.00 / $3,633.00 / $6,827.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,524.00 / $22,312.00 / $37,718.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.58 / $356.58 / $356.58
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,929.00 / $13,902.00 / $28,345.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,929.00 / $13,902.00 / $28,345.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,301.00 / $20,974.00 / $40,876.00