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Lower Extremity Intravascular Lithotripsy

New Hampshire 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?

$16,982

Typical facility fee. In New Hampshire, July 2026.

Insurers have agreed to pay about $16,982 for this service. Most negotiated rates run $11,220 to $21,380.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10,000 · 10th to 90th $2,399 to $14,791Professionalmedian $20,417 · 10th to 90th $12,303 to $41,687
$100$500$2K$10Kfacility $10,000professional $20,417

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
$100.00
Median
$9,772.37
Typical High
$14,791.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$10,000.00
Typical High
$18,197.01
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$12,302.69
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$12,302.69
Median
$20,417.38
Typical High
$41,686.94
United
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$14,454.40
Median
$17,378.01
Typical High
$40,738.03

Where New Hampshire 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.

New Hampshire· 15th of 51

$16,982

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.