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Tibial/Peroneal Intravascular Lithotripsy

California 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 $10,233 · 10th–90th $4,898$18,6210%10%10th90th$10,233Professionalmedian $10,715 · 10th–90th $4,365$25,7040%10%20%10th90th$10,715$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
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$8,511.38
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$10,964.78
Typical High
$25,703.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,471.29
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$316.23
Typical High
$331.13
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$6,918.31
Typical High
$15,848.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$11,220.18
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$11,481.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$44,668.36
Median
$44,668.36
Typical High
$44,668.36
Providence
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,964.78
Typical High
$15,848.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$17,378.01
Typical High
$38,018.94