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Lower Leg Artery Plaque Removal With Stent

Kentucky rates for HCPCS 37231

Treatment of a narrowed or blocked artery below the knee using both a device that shaves or removes the fatty plaque from inside the vessel and a metal mesh stent left in place to hold the channel open. Balloon widening of the same vessel is included. It is done through a small arterial puncture and treats one leg.

Rates data updated July 2026.

How much does Lower Leg Artery Plaque Removal With Stent cost?

$1,072

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $11,749 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$851$33.11 to $977
FacilityA hospital or hospital-owned outpatient department$11,749$977 to $11,749

How much rates vary

Facilitymedian $11,749 · 10th to 90th $794 to $11,749Professionalmedian $851 · 10th to 90th $32 to $1,514
$50.0$200.0$1.0K$5.0K$20.0Kfacility $11,749professional $851

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$11,748.98
Typical High
$11,748.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$912.01
Typical High
$1,096.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$954.99
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,445.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$18,197.01
Median
$19,498.45
Typical High
$23,442.29

Where Kentucky sits

The same service costs 1445.4 times more in Alaska than in Idaho. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $1,072 · 45th of 50
AK $46,774ID $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.