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Louisiana 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
$739.00 / $2,562.00 / $4,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,072.00 / $3,685.00 / $18,028.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,718.40 / $27,456.60 / $39,732.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.00 / $8,932.00 / $19,270.00