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Balloon Opening of a Blocked Artery Below the Knee

California rates for HCPCS 37228

A catheter is threaded down to a narrowed or blocked artery below the knee, and a small balloon is inflated inside it to press the blockage open and restore blood flow to the lower leg and foot. It covers the first such vessel treated in one leg. It is used when poor circulation is causing rest pain or wounds that will not heal.

Facilitymedian $10,715 · 10th–90th $6,026$17,7830%10%10th90th$10,715Professionalmedian $16,596 · 10th–90th $1,413$33,1130%20%10th90th$16,596$100.0$500.0$2.0K$10.0K

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,715.19
Typical High
$17,782.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$9,549.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,884.03
Typical High
$10,964.78
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$37,153.52
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$28,183.83
Median
$33,113.11
Typical High
$33,113.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$5,495.41
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$6,760.83
Typical High
$11,748.98
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$5,888.44
Typical High
$20,892.96