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Tibial/Peroneal Intravascular Lithotripsy

New Jersey 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 $8,511 · 10th–90th $4,571$13,8040%10%10th90th$8,511Professionalmedian $10,965 · 10th–90th $5,888$11,7490%20%10th90th$10,965$2.0K$5.0K$10.0K$20.0K$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
$4,570.88
Median
$8,511.38
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$10,964.78
Typical High
$11,748.98
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$40,738.03
Typical High
$57,543.99
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$10,232.93
Typical High
$27,542.29