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Texas 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
$983.00 / $3,682.00 / $12,480.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,976.00 / $18,028.12 / $18,028.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,529.92 / $24,096.00 / $54,296.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,823.97 / $18,823.97 / $18,823.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,028.12 / $18,028.12 / $19,290.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,028.12 / $18,028.12 / $18,823.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,409.00 / $9,027.00 / $20,955.00