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Plaque Removal And Stent, Extra Lower Leg Artery

Pennsylvania rates for HCPCS 37235

Treatment of an additional narrowed artery below the knee during the same session in which another artery in that region has already been treated, using both a device that removes the fatty plaque and a stent left in place to hold the vessel open. Balloon widening of the same vessel is included. Each further vessel treated is charged in addition to the first one.

Rates data updated October 2026.

How much does Plaque Removal And Stent, Extra Lower Leg Artery cost?

$3,802

Typical physician fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $3,802 for this service. Most negotiated rates run $389 to $3,890.

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 $389 · 10th to 90th $355 to $3,890Professionalmedian $3,802 · 10th to 90th $355 to $4,266
$500$1K$2K$5K$10Kfacility $389professional $3,802

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
$457.09
Median
$4,265.80
Typical High
$7,244.36
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$4,677.35
Typical High
$4,677.35
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$389.05
Typical High
$3,890.45
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$3,715.35
Typical High
$3,890.45

Where Pennsylvania sits

The same service costs 63.1 times more in Tennessee than in West Virginia. 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· 31st of 42

$3,802

TN $26,915WV $427

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.