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Tibial/Peroneal Intravascular Lithotripsy with Stent

Rhode Island 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 $6,918 · 10th to 90th $3,715 to $33,113Professionalmedian $69,183 · 10th to 90th $69,183 to $69,183
$5K$10K$20K$50Kfacility $6,918professional $69,183

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
$33,113.11
United
Setting
Professional
Modifier
Global
Typical Low
$69,183.10
Median
$69,183.10
Typical High
$69,183.10