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Tibial/Peroneal Intravascular Lithotripsy

Rhode Island 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.

How much rates vary

Facilitymedian $6,918 · 10th to 90th $3,715 to $25,704Professionalmedian $63,096 · 10th to 90th $63,096 to $63,096
$5K$10K$20K$50Kfacility $6,918professional $63,096

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$3,019.95
Median
$3,715.35
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$8,128.31
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$63,095.73
Median
$63,095.73
Typical High
$63,095.73