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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 October 2026.

How much does Tibial/Peroneal Intravascular Lithotripsy cost?

$79.43

Typical facility fee. In Montana, October 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $79.43 to $5,370.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $12,882 · 10th to 90th $3,388 to $24,547Professionalmedian $79 · 10th to 90th $79 to $79
$100$500$2K$10Kfacility $12,882professional $79

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
Cigna
Setting
Facility
Modifier
None
Typical Low
$12,882.50
Median
$12,882.50
Typical High
$24,547.09
Providence
Setting
Facility
Modifier
None
Typical Low
$12,882.50
Median
$12,882.50
Typical High
$24,547.09
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$5,623.41
Typical High
$25,118.86

Where Montana 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.

Montana· 51st of 51

$79.43

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.