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Tibial/Peroneal Intravascular Lithotripsy

Kansas 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 $6,457 · 10th–90th $2,818$12,3030%5%10%10th90th$6,457Professionalmedian $3,631 · 10th–90th $2,818$7,9430%20%10th90th$3,631$100.0$500.0$2.0K$10.0K

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
$2,818.38
Median
$5,754.40
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,630.78
Typical High
$7,943.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$8,511.38
Typical High
$17,378.01
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$8,912.51
Typical High
$15,848.93