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Anesthesia for Clot Removal From an Upper Arm Artery

Arizona rates for HCPCS 01772

Anesthesia care for an operation to pull a blood clot out of an artery in the upper arm or at the elbow and restore blood flow to the rest of the limb. The anesthesia team keeps the patient comfortable, often with a nerve block numbing the arm, and monitors circulation while flow is restored. The surgeon's work is charged separately.

Rates data updated July 2026.

Facilitymedian $40 · 10th–90th $40$520%20%40%90th$40$50.0

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
Medica
Setting
Facility
Modifier
QK · Directing 2–4 cases
Typical Low
$39.81
Median
$39.81
Typical High
$52.48
Medica
Setting
Facility
Modifier
QX · CRNA, directed
Typical Low
$39.81
Median
$39.81
Typical High
$52.48
Medica
Setting
Facility
Modifier
QY · Directing one CRNA
Typical Low
$39.81
Median
$39.81
Typical High
$52.48