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New York 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
$2,303.00 / $5,796.00 / $10,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.00 / $6,962.00 / $11,080.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $10,355.00 / $24,288.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.03 / $233.03 / $233.03
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,288.50 / $2,390.00 / $7,170.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,227.90 / $7,227.90 / $7,227.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $7,227.90 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.00 / $10,317.00 / $30,919.00