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Indiana 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
$1,386.00 / $4,846.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.00 / $1,386.00 / $28,887.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,841.00 / $32,251.00 / $57,499.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,574.63 / $17,574.63 / $17,574.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,526.00 / $14,061.00 / $19,962.00