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Tibial/Peroneal Intravascular Lithotripsy

Nebraska 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 $10,965 · 10th–90th $7,079$19,4980%10%10th90th$10,965Professionalmedian $6,166 · 10th–90th $1,585$10,9650%20%10th90th$6,166$2.0K$5.0K$10.0K$20.0K

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
$7,079.46
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,584.89
Typical High
$13,489.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$13,803.84
Typical High
$26,915.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$6,456.54
Typical High
$6,456.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$14,125.38
Typical High
$19,054.61
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$13,489.63
Typical High
$17,378.01