go back

Tibial/Peroneal Intravascular Lithotripsy

New York 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 $7,762 · 10th–90th $3,020$16,2180%5%10%10th90th$7,762Professionalmedian $7,943 · 10th–90th $832$10,9650%20%40%10th90th$7,943$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
$2,137.96
Median
$5,888.44
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$7,943.28
Typical High
$10,964.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,964.78
Typical High
$17,782.79
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,398.83
Typical High
$7,244.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$7,762.47
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$8,128.31
Typical High
$28,183.83