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Idaho 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

Facilitymedian $9,550 · 10th–90th $3,388–$29,5120%10%20%10th90th$9,550Professionalmedian $22,909 · 10th–90th $18,621–$22,9090%50%10th$22,909$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,495.41 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22,908.68 / $22,908.68 / $22,908.68
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $22,387.21 / $34,673.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,620.87 / $18,620.87 / $18,620.87
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $22,908.68 / $41,686.94
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $22,908.68 / $22,908.68
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $24,547.09 / $37,153.52
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,620.87 / $26,302.68 / $29,512.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $26,915.35 / $29,512.09