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Nebraska 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
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,197.01 / $18,197.01 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $19,952.62 / $38,904.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,481.54 / $12,022.64 / $12,022.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $15,488.17 / $30,199.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $13,489.63 / $24,547.09