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Tibial/Peroneal Lithotripsy with Stent and Atherectomy

Idaho 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 $19,055 · 10th–90th $4,467$57,5440%10%10th90th$19,055Professionalmedian $18,197 · 10th–90th $4,467$18,1970%50%10th$18,197$50.0$200.0$1.0K$5.0K$20.0K

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
$3,388.44
Median
$8,709.64
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$18,197.01
Typical High
$18,197.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$36,307.81
Typical High
$57,543.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$29,512.09
Median
$29,512.09
Typical High
$29,512.09
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$21,379.62
Typical High
$33,113.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$41,686.94
Typical High
$60,255.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$35,481.34
Typical High
$46,773.51
United
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$25,118.86
Typical High
$66,069.34