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Minnesota 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
$6,205.00 / $6,575.00 / $17,383.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,992.00 / $1,992.00 / $2,843.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,702.96 / $39,109.04 / $70,912.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,527.00 / $12,586.00 / $59,406.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,028.00 / $11,496.00 / $21,528.00