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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 July 2026.

Facilitymedian $12,023 · 10th–90th $1,445$26,9150%5%10th90th$12,023Professionalmedian $6,310 · 10th–90th $3,890$7,7620%20%10th90th$6,310$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
$1,174.90
Median
$2,089.30
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$6,309.57
Typical High
$7,762.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$19,498.45
Typical High
$32,359.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$9,549.93
Typical High
$21,379.62
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$10,715.19
Typical High
$22,387.21