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Tibial/Peroneal Intravascular Lithotripsy

Washington, DC 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 $6,166 · 10th–90th $2,138$7,7620%10%10th90th$6,166$2.0K$5.0K$10.0K$20.0K$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
$2,137.96
Median
$6,165.95
Typical High
$7,762.47
United
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$47,863.01
Typical High
$61,659.50