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Idaho rates for HCPCS C9772

Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed

Facilitymedian $10,965 · 10th–90th $3,388$30,2000%10%20%10th90th$10,965Professionalmedian $10,965 · 10th–90th $10,965$10,9650%50%$10,965$50.0$200.0$1.0K$5.0K$20.0K

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
$3,388.44 / $5,495.41 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,964.78 / $10,964.78 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $22,387.21 / $34,673.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,620.87 / $18,620.87 / $18,620.87
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $10,964.78 / $19,952.62
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $10,964.78 / $10,964.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $26,302.68 / $37,153.52
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,620.87 / $26,302.68 / $29,512.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $25,118.86 / $66,069.34