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Tibial/Peroneal Lithotripsy with Stent and Atherectomy

Washington 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 $17,783 · 10th–90th $4,467$79,4330%5%10th90th$17,783Professionalmedian $18,197 · 10th–90th $18,197$18,1970%50%$18,197$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
$1,737.80
Median
$13,182.57
Typical High
$20,892.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18,197.01
Median
$18,197.01
Typical High
$18,197.01
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$54,954.09
Typical High
$95,499.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$30,902.95
Typical High
$30,902.95
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$75,857.76
Typical High
$134,896.29
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$42,657.95
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$52,480.75
Typical High
$95,499.26
United
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$57,543.99
Typical High
$109,647.82