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Lower Extremity Intravascular Lithotripsy

Washington, DC 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 $6,166 · 10th to 90th $2,138 to $7,762
$2K$5K$10K$20K$50Kfacility $6,166

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$6,165.95
Typical High
$7,762.47
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$19,054.61
Typical High
$61,659.50