go back

Tibial/Peroneal Intravascular Lithotripsy with Stent

Montana rates for HCPCS C9773

Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed

Rates data updated July 2026.

How much rates vary

Facilitymedian $52,481 · 10th to 90th $18,197 to $52,481Professionalmedian $85 · 10th to 90th $79 to $52,481
$100$500$2K$10K$50Kfacility $52,481professional $85

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
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$52,480.75
Typical High
$52,480.75
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$52,480.75
Median
$52,480.75
Typical High
$52,480.75
Providence
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$18,197.01
Typical High
$18,197.01
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11