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North Carolina 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 $10,471 · 10th–90th $1,698–$18,1970%20%10th90th$10,471Professionalmedian $22,909 · 10th–90th $1,698–$22,9090%50%10th$22,909$100.0$500.0$2.0K$10.0K$50.0K

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
$1,698.24 / $8,709.64 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $22,908.68 / $22,908.68
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $25,118.86 / $33,884.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $15,135.61 / $23,442.29
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $46,773.51 / $46,773.51