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Tibial/Peroneal Intravascular Lithotripsy

Georgia 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 $5,754 · 10th–90th $2,570$15,4880%5%10th90th$5,754Professionalmedian $10,965 · 10th–90th $4,571$23,4420%50%10th90th$10,965$2.0K$5.0K$10.0K$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
$3,467.37
Median
$5,370.32
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$10,964.78
Typical High
$23,442.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$6,456.54
Typical High
$16,218.10
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$8,709.64
Typical High
$19,498.45