go back

Tibial/Peroneal Intravascular Lithotripsy

Montana 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 $66,069 · 10th–90th $10,965$91,2010%20%10th90th$66,069Professionalmedian $85 · 10th–90th $79$32,3590%50%10th90th$85$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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$32,359.37
Typical High
$32,359.37
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$32,359.37
Median
$32,359.37
Typical High
$32,359.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11