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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 Angioplastywithin The Same Vessel (S) When Performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $10,975.77 / $22,021.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.00 / $9,185.68 / $12,765.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,172.22 / $19,955.61 / $38,600.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,496.00 / $15,622.00 / $29,914.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,670.59 / $23,344.36 / $30,817.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00