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Lower Extremity Intravascular Lithotripsy

Arkansas rates for HCPCS C9764

Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed

Rates data updated July 2026.

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,288 to $6,457Professionalmedian $22,909 · 10th to 90th $1,862 to $22,909
$1K$2K$5K$10K$20Kfacility $1,820professional $22,909

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,819.70
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$22,908.68
Typical High
$22,908.68
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$6,025.60
Typical High
$16,595.87