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Washington 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 $16,982 · 10th–90th $6,457–$67,6080%5%10%10th90th$16,982Professionalmedian $18,197 · 10th–90th $2,399–$18,1970%50%10th$18,197$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 / $28,183.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $18,197.01 / $18,197.01
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $30,902.95 / $30,902.95
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $75,857.76 / $134,896.29
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $42,657.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $48,977.88 / $95,499.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $57,543.99 / $109,647.82