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Tibial/Peroneal Intravascular Lithotripsy

Nationwide 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

Rates data updated July 2026.

Facilitymedian $8,318 · 10th–90th $2,399$22,3870%10%20%10th90th$8,318Professionalmedian $10,965 · 10th–90th $2,570$23,4420%50%10th90th$10,965$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
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$5,248.07
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$10,964.78
Typical High
$10,964.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$11,748.98
Typical High
$28,840.32
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$295.12
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$7,585.78
Typical High
$12,302.69
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$11,220.18
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$29,512.09
Typical High
$61,659.50