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Washington 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
$4,425.00 / $13,222.56 / $27,982.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,028.12 / $18,028.12 / $18,028.12
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,627.30 / $49,692.55 / $96,135.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,061.43 / $31,061.43 / $31,061.43
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,402.31 / $58,633.60 / $146,985.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,707.31 / $42,437.00 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,111.05 / $49,692.55 / $95,056.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $13,441.00 / $26,100.00