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Tibial/Peroneal Lithotripsy with Stent and Atherectomy

New Hampshire 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 $12,023 · 10th–90th $2,399$14,7910%10%10th90th$12,023Professionalmedian $58,884 · 10th–90th $40,738$69,1830%20%40%10th90th$58,884$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
$100.00
Median
$9,772.37
Typical High
$14,791.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$12,022.64
Typical High
$22,908.68
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$12,589.25
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$40,738.03
Median
$58,884.37
Typical High
$69,183.10
United
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$47,863.01
Median
$56,234.13
Typical High
$69,183.10