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Idaho 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
$3,388.44 / $5,495.41 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,197.01 / $18,197.01 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $36,307.81 / $54,954.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29,512.09 / $29,512.09 / $29,512.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,495.41 / $21,379.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $8,709.64 / $18,197.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,622.78 / $41,686.94 / $60,255.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29,512.09 / $41,686.94 / $46,773.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $25,118.86 / $66,069.34