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Tibial/Peroneal Intravascular Lithotripsy

Louisiana 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 $3,311 · 10th–90th $933$17,3780%10%10th90th$3,311Professionalmedian $7,586 · 10th–90th $3,715$10,9650%20%40%10th90th$7,586$500.0$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
$933.25
Median
$3,019.95
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$7,585.78
Typical High
$10,964.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$17,378.01
Typical High
$24,547.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$10,471.29
Typical High
$24,547.09