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Lower Extremity Intravascular Lithotripsy

Rhode Island 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 rates vary

Facilitymedian $6,310 · 10th to 90th $3,715 to $18,621Professionalmedian $41,687 · 10th to 90th $41,687 to $41,687
$5K$10K$20Kfacility $6,310professional $41,687

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,715.35
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$7,762.47
Typical High
$18,620.87
United
Setting
Professional
Modifier
Global
Typical Low
$41,686.94
Median
$41,686.94
Typical High
$41,686.94