go back

Lower Leg Artery Plaque Removal With Stent

Pennsylvania 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 October 2026.

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

$11,220

Typical physician fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $11,220 for this service. Most negotiated rates run $741 to $12,023.

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 $741 · 10th to 90th $708 to $12,023Professionalmedian $11,220 · 10th to 90th $708 to $13,804
$1K$2K$5K$10K$20Kfacility $741professional $11,220

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Geisinger
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$13,803.84
Typical High
$23,442.29
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$15,135.61
Typical High
$15,135.61
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$741.31
Typical High
$12,022.64
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$10,964.78
Typical High
$12,022.64

Where Pennsylvania sits

The same service costs 120.2 times more in Texas than in Hawaii. 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.

Pennsylvania· 33rd of 44

$11,220

TX $79,433HI $661

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.