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Tibial/Peroneal Intravascular Lithotripsy

Maine 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 October 2026.

How much does Tibial/Peroneal Intravascular Lithotripsy cost?

$3,020

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $3,020 for this service. The price depends on where it is billed: about $10,965 from a physician practice, and about $3,020 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10,965$10,965 to $107,152
FacilityA hospital or hospital-owned outpatient department$3,020$2,884 to $8,913

How much rates vary

Facilitymedian $3,020 · 10th to 90th $708 to $13,183Professionalmedian $10,965 · 10th to 90th $10,965 to $107,152
$1K$2K$5K$10K$20K$50K$100Kfacility $3,020professional $10,965

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$8,912.51
Typical High
$14,454.40
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$3,019.95
Typical High
$10,232.93
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$107,151.93
Median
$107,151.93
Typical High
$107,151.93
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$3,019.95
Typical High
$10,232.93

Where Maine sits

The same service costs 229.1 times more in Wyoming than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 49th of 51

$3,020

WY $18,197MT $79.43

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.