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Tibial/Peroneal Intravascular Lithotripsy

Minnesota 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 $26,915 · 10th–90th $5,888$51,2860%5%10%10th90th$26,915Professionalmedian $1,995 · 10th–90th $1,995$2,8180%20%40%90th$1,995$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$6,760.83
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,818.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$28,183.83
Typical High
$81,283.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$12,589.25
Typical High
$29,512.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$11,220.18
Typical High
$29,512.09