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Tibial/Peroneal Intravascular Lithotripsy

Indiana 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 $33,884 · 10th–90th $4,898$50,1190%10%10th90th$33,884Professionalmedian $1,380 · 10th–90th $1,023$1,3800%20%40%10th$1,380$1.0K$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
$1,380.38
Median
$4,897.79
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,380.38
Typical High
$1,380.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$37,153.52
Typical High
$52,480.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$13,803.84
Typical High
$20,417.38