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Tibial/Peroneal Intravascular Lithotripsy

Kentucky 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 $4,786 · 10th–90th $759$9,7720%10%10th90th$4,786Professionalmedian $10,965 · 10th–90th $1,995$10,9650%50%10th$10,965$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$758.58
Median
$3,235.94
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$10,964.78
Typical High
$10,964.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$5,888.44
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$12,302.69
Typical High
$15,488.17