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Atherectomy Of A Thigh Or Knee Artery

North Carolina rates for HCPCS 37225

Reopens a narrowed or blocked artery in the thigh or behind the knee by shaving or drilling away hardened plaque from inside the vessel, using a device on the tip of a catheter threaded in through a small puncture. Balloon widening of the same vessel is included when it is also carried out. It covers treatment on one side.

Rates data updated July 2026.

How much does Atherectomy Of A Thigh Or Knee Artery cost?

$21,878

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $21,878 for this service. Most negotiated rates run $12,589 to $69,183.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15,488 · 10th to 90th $9,120 to $70,795Professionalmedian $60,256 · 10th to 90th $60,256 to $69,183
$100$1K$10Kfacility $15,488professional $60,256

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$15,488.17
Typical High
$21,379.62
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$70,794.58
Typical High
$70,794.58
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$60,255.96
Median
$69,183.10
Typical High
$69,183.10

Where North Carolina sits

The same service costs 1096.5 times more in Indiana than in Idaho. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 4th of 50

$21,878

IN $35,481ID $32.36

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.