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Tibial/Peroneal Intravascular Lithotripsy

Massachusetts 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 $3,802 · 10th–90th $2,512$8,5110%10%10th90th$3,802Professionalmedian $36,308 · 10th–90th $18,197$52,4810%10%10th90th$36,308$100.0$500.0$2.0K$10.0K$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
$2,511.89
Median
$3,715.35
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$12,302.69
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$6,760.83
Typical High
$17,378.01
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$9,772.37
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$6,918.31
Typical High
$20,417.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$19,952.62
Median
$37,153.52
Typical High
$52,480.75
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$6,760.83
Typical High
$17,378.01
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$7,244.36
Typical High
$33,884.42
United
Setting
Professional
Modifier
Global
Typical Low
$19,498.45
Median
$25,703.96
Typical High
$47,863.01