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Oklahoma 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 $1,585–$26,3030%5%10th90th$9,550Professionalmedian $22,909 · 10th–90th $6,310–$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
$1,380.38 / $3,981.07 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $22,908.68 / $22,908.68
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $19,498.45 / $32,359.37
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $6,918.31 / $15,135.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $7,244.36 / $14,454.40