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Tibial/Peroneal Intravascular Lithotripsy

Wyoming 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 rates vary

Facilitymedian $18,197 · 10th to 90th $7,244 to $26,915
$10K$20Kfacility $18,197

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
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$19,054.61
Typical High
$27,542.29
United
Setting
Facility
Modifier
None
Typical Low
$6,760.83
Median
$8,511.38
Typical High
$26,915.35