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Tibial/Peroneal Intravascular Lithotripsy

Pennsylvania 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 $5,495 · 10th–90th $1,413$8,5110%10%10th90th$5,495Professionalmedian $6,166 · 10th–90th $1,288$10,9650%20%10th90th$6,166$1.0K$2.0K$5.0K$10.0K$20.0K$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
$1,412.54
Median
$5,495.41
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$6,165.95
Typical High
$10,964.78
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$70,794.58
Median
$70,794.58
Typical High
$70,794.58
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$4,786.30
Typical High
$8,511.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$2,344.23
Typical High
$7,762.47
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$8,912.51
Typical High
$33,884.42
United
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00