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California 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
$3,566.00 / $8,774.00 / $20,135.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,382.00 / $18,028.12 / $18,028.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,437.00 / $10,474.00 / $20,418.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.00 / $317.00 / $330.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.09 / $100.00 / $13,849.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,566.50 / $16,566.50 / $19,578.59
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,386.11 / $18,386.11 / $19,305.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,566.50 / $16,566.50 / $19,578.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,830.00 / $18,315.00 / $45,545.00