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New Mexico 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 $21,878 · 10th–90th $7,244–$41,6870%10%20%10th90th$21,878Professionalmedian $22,909 · 10th–90th $22,909–$22,9090%50%$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
$2,041.74 / $7,762.47 / $7,762.47
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
$10,715.19 / $26,915.35 / $42,657.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $85.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $24,547.09 / $24,547.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $15,848.93 / $50,118.72