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Kansas 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
$2,818.38 / $5,754.40 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $16,982.44 / $18,197.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $7,943.28 / $19,054.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $10,715.19 / $16,218.10