C9774 Medicaid Rate by State

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

13 state Medicaid programs publish a fee-for-service rate for C9774 (revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed), ranging from $7,515.81 in Texas to $18,953.25 in Rhode Island, with a median of 80% of the national Medicare amount.

Every state, kept current

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This page shows one representative rate per state for C9774. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

13

Median % of Medicare

80%

Rate range

$7,515.81 - $18,953.25

C9774 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$12,410.81*95%--2026
Arizona$10,985.7784.1%--2026
Kentucky$12,752.4397.6%--2026
Massachusetts$8,957.1468.6%--2026
Michigan$9,795.10----2026
Missouri$16,525.03--Not required2026
Mississippi$9,505.7572.8%--2025
Montana$13,064.01100%--2026
North Dakota$7,517.5757.5%Not required2026
New Mexico$16,064.00----2026
Oregon$10,451.21*80%--2026
Rhode Island$18,953.25----2026
Texas$7,515.81*57.5%--2024

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.

Related state-specific services codes

All 38 codes from C9047 to C9901 or every state-specific services code by number.

Frequently asked questions

How much does Medicaid pay for C9774?

13 state Medicaid programs publish a fee-for-service rate for C9774 (revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed), ranging from $7,515.81 in Texas to $18,953.25 in Rhode Island, with a median of 80% of the national Medicare amount. The full table on this page lists every publishing state's current rate.

Which state pays the most for C9774?

Rhode Island publishes the highest Medicaid rate for C9774 at $18,953.25. Texas publishes the lowest at $7,515.81.

Does C9774 require prior authorization under Medicaid?

No publishing state flags C9774 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.