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Tibial/Peroneal Lithotripsy with Stent and Atherectomy

North Carolina 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 $9,120 · 10th–90th $1,660$24,5470%10%20%10th90th$9,120Professionalmedian $18,197 · 10th–90th $1,660$18,1970%50%10th$18,197$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$8,511.38
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$18,197.01
Typical High
$18,197.01
Medcost
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$19,952.62
Typical High
$26,302.68
United
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$21,379.62
Typical High
$33,113.11
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79,432.82
Median
$79,432.82
Typical High
$79,432.82