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South Dakota 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 $4,365 · 10th–90th $4,365–$38,9050%50%90th$4,365Professionalmedian $22,909 · 10th–90th $22,909–$33,8840%50%90th$22,909$5.0K$10.0K$20.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22,908.68 / $22,908.68 / $33,884.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $38,904.51 / $63,095.73
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $5,370.32