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Tibial/Peroneal Intravascular Lithotripsy

Oklahoma 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 October 2026.

How much does Tibial/Peroneal Intravascular Lithotripsy cost?

$17,378

Typical facility fee. In Oklahoma, October 2026.

Insurers have agreed to pay about $17,378 for this service. Most negotiated rates run $7,943 to $23,988.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $17,378 · 10th to 90th $3,236 to $31,623Professionalmedian $4,467 · 10th to 90th $3,890 to $7,762
$1K$2K$5K$10K$20Kfacility $17,378professional $4,467

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$4,466.84
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$4,466.84
Typical High
$7,762.47
BCBS Oklahoma
Setting
Facility
Modifier
None
Typical Low
$13,803.84
Median
$22,908.68
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$8,912.51
Typical High
$10,000.00
Medica
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$9,332.54
Typical High
$20,892.96
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$10,964.78
Typical High
$21,379.62

Where Oklahoma sits

The same service costs 229.1 times more in Wyoming than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Oklahoma· 2nd of 51

$17,378

WY $18,197MT $79.43

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.