go back

Pennsylvania rates for HCPCS 37222

Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.45 / $947.45 / $4,014.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.24 / $197.24 / $197.24
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,850.00 / $16,455.00 / $36,032.05
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.70 / $1,000.01 / $1,853.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.26 / $934.26 / $949.23
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.81 / $202.81 / $202.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.78 / $787.45 / $4,014.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.90 / $755.71 / $1,706.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.15 / $277.85 / $867.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.15 / $277.85 / $640.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.36 / $987.82 / $1,601.70