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Tibial/Peroneal Intravascular Lithotripsy

North Carolina 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 $10,471 · 10th–90th $1,698$21,3800%10%20%10th90th$10,471Professionalmedian $10,965 · 10th–90th $1,660$10,9650%50%10th$10,965$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$10,471.29
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$10,964.78
Typical High
$10,964.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$12,022.64
Typical High
$15,848.93
United
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$21,379.62
Typical High
$33,113.11
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$44,668.36
Median
$44,668.36
Typical High
$44,668.36