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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 Angioplastywithin The Same Vessel (S) When Performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $6,071.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,800.00 / $5,467.00 / $16,942.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.00 / $8,000.00 / $19,082.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,729.00 / $8,000.00 / $17,483.00