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Illinois 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
$1,018.00 / $3,221.00 / $6,614.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,811.00 / $18,028.12 / $18,028.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,897.29 / $25,644.26 / $33,131.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,276.00 / $8,141.00 / $21,651.00