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Tibial/Peroneal Intravascular Lithotripsy

New Mexico 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 $46,774 · 10th–90th $2,089$81,2830%10%10th90th$46,774Professionalmedian $60 · 10th–90th $60$850%50%90th$60$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,041.74
Typical High
$7,762.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$54,954.09
Typical High
$85,113.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$85.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$22,387.21
Typical High
$50,118.72