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New Jersey 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
$4,118.00 / $6,976.00 / $11,557.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,298.00 / $18,028.12 / $18,028.12
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,504.18 / $49,636.03 / $88,663.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,066.00 / $12,315.00 / $27,214.00