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Tibial/Peroneal Intravascular Lithotripsy

Ohio 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 $8,128 · 10th–90th $3,311$13,8040%10%10th90th$8,128Professionalmedian $10,715 · 10th–90th $5,129$12,5890%20%40%10th90th$10,715$1.0K$2.0K$5.0K$10.0K$20.0K

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
$3,467.37
Median
$8,128.31
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$10,715.19
Typical High
$12,589.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$7,413.10
Typical High
$30,199.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$10,964.78
Typical High
$16,982.44