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Lower Extremity Intravascular Lithotripsy

Montana 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 does Lower Extremity Intravascular Lithotripsy cost?

$32,359

Typical facility fee. In Montana, July 2026.

Insurers have agreed to pay about $32,359 for this service. Most negotiated rates run $85.11 to $66,069.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $66,069 · 10th to 90th $22,909 to $91,201Professionalmedian $85 · 10th to 90th $79 to $32,359
$100$1K$10K$100Kfacility $66,069professional $85

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$32,359.37
Typical High
$32,359.37
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$32,359.37
Median
$32,359.37
Typical High
$32,359.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$22,908.68
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11

Where Montana sits

The same service costs 32.4 times more in Vermont than in Arkansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 2nd of 51

$32,359

VT $58,884AR $1,820

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.