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Virginia 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 $8,913 · 10th–90th $3,236–$17,7830%20%10th90th$8,913Professionalmedian $8,318 · 10th–90th $1,549–$19,9530%20%10th90th$8,318$0.0$0.2$2.0$20.0$200.0$2.0K$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
$3,235.94 / $7,079.46 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $6,760.83 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $14,791.08 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $15,848.93 / $15,848.93
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $15,135.61 / $30,199.52
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,000.00 / $15,135.61 / $30,199.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $17,782.79 / $31,622.78