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Arizona rates for HCPCS C9775

Revascularization Endovascular Open Or Percutaneous Tibial/Peroneal Artery(Ies); With Intravascular Lithotripsy And Transluminal Stent Placement(S) And Atherectomy Includes Angioplastywithin The Same Vessel (S) When Performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,028.12 / $18,028.12 / $18,028.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.77 / $2,467.19 / $4,035.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.55 / $814.81 / $1,222.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,158.93 / $24,158.93 / $24,158.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,545.00 / $16,841.00 / $25,780.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,560.00 / $10,316.00 / $16,841.00