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Arkansas rates for HCPCS C9775

Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.00 / $1,821.00 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.00 / $1,846.00 / $1,846.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,896.00 / $5,455.00 / $12,152.00