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Iowa 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
$4,146.00 / $4,964.00 / $9,185.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,760.00 / $4,760.00 / $4,760.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $16,942.34 / $16,942.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,398.00 / $20,155.89 / $47,928.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,670.59 / $22,949.03 / $26,227.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,542.00 / $12,871.00 / $16,293.00