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Tibial/Peroneal Intravascular Lithotripsy

New Hampshire 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?

$10,471

Typical facility fee. In New Hampshire, October 2026.

Insurers have agreed to pay about $10,471 for this service. Most negotiated rates run $4,266 to $19,953.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8,913 · 10th to 90th $2,884 to $18,621Professionalmedian $33,884 · 10th to 90th $21,380 to $61,660
$500$1K$2K$5K$10K$20K$50Kfacility $8,913professional $33,884

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$3,388.44
Typical High
$14,791.08
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$10,471.29
Typical High
$19,952.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$15,135.61
Typical High
$19,054.61
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$2,884.03
Median
$4,168.69
Typical High
$10,964.78
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$21,379.62
Median
$33,884.42
Typical High
$61,659.50
United
Setting
Facility
Modifier
None
Typical Low
$2,884.03
Median
$5,754.40
Typical High
$10,964.78
Well Sense
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79

Where New Hampshire 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.

New Hampshire· 16th of 51

$10,471

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.