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Lower Leg Artery Plaque Removal With Stent

New York 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?

$11,482

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $11,482 for this service. The price depends on where it is billed: about $16,596 from a physician practice, and about $11,220 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 6 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$16,596$11,220 to $21,878
FacilityA hospital or hospital-owned outpatient department$11,220$6,310 to $15,136

How much rates vary

Facilitymedian $11,220 · 10th to 90th $4,898 to $26,303Professionalmedian $16,596 · 10th to 90th $1,479 to $31,623
$1.0K$10.0K$100.0Kfacility $11,220professional $16,596

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. 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
$5,128.61
Median
$11,481.54
Typical High
$26,302.68
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,398.83
Typical High
$10,964.78
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$19,498.45
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$7,943.28
Median
$13,182.57
Typical High
$21,379.62
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$16,982.44
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$15,135.61
Median
$19,498.45
Typical High
$35,481.34
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$12,882.50
Typical High
$28,840.32
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$16,595.87
Typical High
$162,181.01
Univera
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$912.01
Typical High
$1,995.26
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$11,220.18
Typical High
$19,498.45

Where New York 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.

New York $11,482 · 32nd 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.