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Kentucky 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
$787.00 / $2,747.00 / $9,311.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,028.12 / $18,028.12 / $18,028.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,496.00 / $10,683.00 / $11,870.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.00 / $6,186.00 / $15,387.00