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Tibial/Peroneal Lithotripsy with Stent and Atherectomy

Arizona rates for HCPCS C9775

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

Rates data updated July 2026.

Facilitymedian $4,677 · 10th–90th $2,089$10,2330%5%10%10th90th$4,677Professionalmedian $18,197 · 10th–90th $1,047$18,1970%50%10th$18,197$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,677.35
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$18,197.01
Typical High
$18,197.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,754.23
Typical High
$5,128.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$1,096.48
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$23,988.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$13,803.84
Typical High
$25,703.96
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$10,715.19
Typical High
$17,782.79