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Washington 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 $16,982 · 10th–90th $6,457–$46,7740%5%10%10th90th$16,982Professionalmedian $22,909 · 10th–90th $2,399–$22,9090%50%10th$22,909$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$4,677.35 / $13,803.84 / $30,199.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $22,908.68 / $22,908.68
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $28,183.83 / $60,255.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $18,197.01 / $18,197.01
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $46,773.51 / $83,176.38
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $13,803.84 / $26,915.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $29,512.09 / $60,255.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $36,307.81 / $69,183.10