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Mississippi 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
$784.00 / $1,831.00 / $2,010.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,926.45 / $27,926.45 / $33,397.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,829.14 / $14,829.14 / $14,829.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,566.42 / $13,566.42 / $13,566.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.00 / $8,766.00 / $15,000.00