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Tibial/Peroneal Intravascular Lithotripsy

Arizona 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 $5,012 · 10th–90th $2,188$10,2330%10%10th90th$5,012Professionalmedian $10,965 · 10th–90th $1,047$10,9650%50%10th$10,965$100.0$500.0$2.0K$10.0K$50.0K

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
$2,187.76
Median
$4,677.35
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$10,964.78
Typical High
$10,964.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$5,495.41
Typical High
$10,232.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$5,011.87
Typical High
$31,622.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$13,803.84
Typical High
$13,803.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$11,220.18
Typical High
$21,379.62
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$10,471.29
Typical High
$16,982.44