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Tibial/Peroneal Lithotripsy with Stent and Atherectomy

Texas 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 $4,571 · 10th–90th $1,259$22,9090%5%10%10th90th$4,571Professionalmedian $8,710 · 10th–90th $1,000$18,1970%20%10th90th$8,710$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$1,096.48
Median
$3,715.35
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$8,709.64
Typical High
$18,197.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$25,703.96
Typical High
$51,286.14
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79,432.82
Median
$79,432.82
Typical High
$79,432.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$21,877.62
Typical High
$33,884.42
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$38,018.94
Median
$38,018.94
Typical High
$38,018.94
Molina
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$602.56
Typical High
$10,232.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$20,892.96
Typical High
$33,884.42
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$10,715.19
Typical High
$21,877.62