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Tibial/Peroneal Lithotripsy with Stent and Atherectomy

Hawaii 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 October 2026.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,950 to $10,233
$2K$5K$10Kfacility $5,495

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$5,495.41
Typical High
$5,495.41
United
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$3,981.07
Typical High
$10,232.93