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Tibial/Peroneal Intravascular Lithotripsy

West Virginia 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 $2,344 · 10th–90th $1,413$8,5110%20%40%10th90th$2,344Professionalmedian $10,965 · 10th–90th $10,965$10,9650%50%100%$10,965$100.0$500.0$2.0K$10.0K

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
$1,412.54
Median
$1,412.54
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$32,359.37