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Idaho rates for HCPCS C9775

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

Facilitymedian $12,023 · 10th–90th $3,388–$48,9780%10%10th90th$12,023Professionalmedian $18,197 · 10th–90th $18,197–$18,1970%50%$18,197$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 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,197.01 / $18,197.01 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $36,307.81 / $54,954.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29,512.09 / $29,512.09 / $29,512.09
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $18,197.01 / $33,113.11
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $18,197.01 / $18,197.01
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
$31,622.78 / $41,686.94 / $60,255.96
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29,512.09 / $41,686.94 / $46,773.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $25,118.86 / $66,069.34