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Tibial/Peroneal Lithotripsy with Stent and Atherectomy

Michigan 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 $4,898 · 10th–90th $4,898$19,0550%50%90th$4,898Professionalmedian $18,197 · 10th–90th $18,197$18,1970%50%$18,197$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$4,897.79
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18,197.01
Median
$18,197.01
Typical High
$18,197.01
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$18,197.01
Median
$18,197.01
Typical High
$18,197.01
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$16,595.87
Typical High
$37,153.52