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Wisconsin rates for HCPCS C9765

Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed

Facilitymedian $17,783 · 10th–90th $12,589–$28,8400%10%10th90th$17,783Professionalmedian $15,488 · 10th–90th $15,488–$48,9780%50%90th$15,488$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
$8,317.64 / $8,317.64 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $54,954.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $18,197.01 / $28,840.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,952.62 / $19,952.62 / $19,952.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $15,135.61 / $23,988.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $12,882.50 / $27,542.29
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $17,378.01 / $22,908.68