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Tennessee 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
$1,804.00 / $3,401.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,600.00 / $4,069.00 / $10,234.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,582.00 / $9,498.00 / $16,534.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,052.00 / $10,886.00 / $19,168.00