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Tibial/Peroneal Intravascular Lithotripsy

Missouri 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?

$5,623

Typical facility fee. In Missouri, October 2026.

Insurers have agreed to pay about $5,623 for this service. Most negotiated rates run $2,692 to $10,965.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,122 to $18,621Professionalmedian $10,965 · 10th to 90th $3,467 to $10,965
$100$500$2K$10Kfacility $5,495professional $10,965

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$5,623.41
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$10,964.78
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$7,943.28
Typical High
$11,481.54
Medica
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$5,128.61
Typical High
$25,118.86
United
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$5,248.07
Typical High
$19,054.61

Where Missouri 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.

Missouri· 43rd of 51

$5,623

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.