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Tibial/Peroneal Lithotripsy with Stent and Atherectomy

South Dakota 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 $6,607 · 10th–90th $4,365$30,2000%20%40%10th90th$6,607Professionalmedian $18,197 · 10th–90th $18,197$18,1970%50%100%$18,197$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18,197.01
Median
$18,197.01
Typical High
$18,197.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$30,199.52
Typical High
$48,977.88
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93