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Tibial/Peroneal Lithotripsy with Stent and Atherectomy

Montana 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 $52,481 · 10th–90th $18,197$52,4810%50%10th$52,481Professionalmedian $85 · 10th–90th $79$52,4810%50%10th90th$85$100.0$500.0$2.0K$10.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$52,480.75
Typical High
$52,480.75
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$52,480.75
Median
$52,480.75
Typical High
$52,480.75
Providence
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$18,197.01
Typical High
$18,197.01
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11