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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 July 2026.

Facilitymedian $10,471 · 10th–90th $2,399$14,7910%10%20%10th90th$10,471Professionalmedian $40,738 · 10th–90th $25,704$63,0960%10%20%10th90th$40,738$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
$100.00
Median
$9,772.37
Typical High
$14,791.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$10,471.29
Typical High
$19,952.62
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$12,589.25
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$25,703.96
Median
$40,738.03
Typical High
$63,095.73
United
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$29,512.09
Median
$35,481.34
Typical High
$61,659.50