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Montana rates for HCPCS C9775

Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,197.01 / $18,197.01 / $18,197.01
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,480.75 / $52,480.75 / $52,480.75
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,480.75 / $52,480.75 / $52,480.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $22,908.68 / $22,908.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $85.11