$2,336.44–$3,710.67
37280 is reported for the first vessel treated with simple tibial or peroneal angioplasty; 37281 is for each additional vessel.
On this page
CMS RVU26D · Effective 2026-10-01
37281 Leg angioplasty Medicare reimbursement rates
Report 37281 for balloon angioplasty of each additional tibial or peroneal artery treated during lower-extremity endovascular revascularization classified as simple. Compare 37281 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 37281?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$638.90–$1008.30
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $369.40 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 37281 pays more and less
109 payment localities
$638.90 to $1008.30
Peripheral vascular intervention
About 37281: Additional simple tibial-peroneal angioplasty
Report 37281 for balloon angioplasty of each additional tibial or peroneal artery treated during lower-extremity endovascular revascularization classified as simple.
37281 represents balloon dilation of an additional tibial or peroneal artery during endovascular treatment of lower-extremity arterial disease. A vascular surgeon, interventional radiologist, or interventional cardiologist may perform the procedure in a catheterization suite, hybrid operating room, or hospital procedure room. Typical cases involve peripheral artery disease affecting lower-leg arteries, with a separate artery treated after the first vessel. The service is vessel-based: treating multiple lesions in one artery does not by itself create additional-vessel units.
Report 37281 only as an add-on to the appropriate first-vessel simple angioplasty code, 37280; it is not a standalone service. Report one unit for each additional tibial or peroneal artery treated, rather than for each lesion or balloon inflation. Use the complex branch when the intervention meets CPT’s complex criteria. The operative report should identify each treated artery, the angioplasty performed, and the basis for the simple-versus-complex selection. CMS places payment within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays 150%.
CMS billing rules for 37281
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
Where the value comes from
- Work RVU3.00 · 14%
- Practice expense (office) RVU18.38 · 83%
- Malpractice RVU0.66 · 3%
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
37281 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$750.53–$1,168.57
37283 covers each additional vessel in the complex angioplasty category. Use 37281 when the intervention is classified as simple.
$2,402.21–$3,961.13
37285 is for an additional vessel treated with simple revascularization involving stent placement; 37281 represents simple angioplasty.
$802.36–$1,245.61
37289 is for an additional vessel treated with simple revascularization involving atherectomy; 37281 represents simple angioplasty.
See how rates vary across the country
37281 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$638.90
$897.44
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $816.26 | 1 |
| AL | $649.85 | 1 |
| AR | $638.90 | 1 |
| AZ | $713.95 | 1 |
| CA | $786.57–$1,008.30 | 29 |
| CO | $771.82 | 1 |
| CT | $790.06 | 1 |
| DC | $853.33 | 1 |
| DE | $727.06 | 1 |
| FL | $720.23–$795.03 | 3 |
| GA | $674.09–$750.71 | 2 |
| GU | $810.98 | 1 |
| HI | $810.98 | 1 |
| IA | $670.68 | 1 |
| ID | $675.43 | 1 |
| IL | $695.16–$770.45 | 4 |
| IN | $680.01 | 1 |
| KS | $666.29 | 1 |
| KY | $666.14 | 1 |
| LA | $664.63–$702.93 | 2 |
| MA | $765.82–$856.94 | 2 |
| MD | $742.72–$853.33 | 3 |
| ME | $678.71–$722.50 | 2 |
| MI | $685.59–$729.79 | 2 |
| MN | $738.44 | 1 |
| MO | $650.86–$706.73 | 3 |
| MS | $645.07 | 1 |
| MT | $736.11 | 1 |
| NC | $687.07 | 1 |
| ND | $723.06 | 1 |
| NE | $675.17 | 1 |
| NH | $758.57 | 1 |
| NJ | $798.78–$842.19 | 2 |
| NM | $689.63 | 1 |
| NV | $733.09 | 1 |
| NY | $698.91–$877.49 | 5 |
| OH | $682.92 | 1 |
| OK | $665.55 | 1 |
| OR | $727.15–$800.26 | 2 |
| PA | $684.60–$767.38 | 2 |
| PR | $742.58 | 1 |
| RI | $755.94 | 1 |
| SC | $686.19 | 1 |
| SD | $721.52 | 1 |
| TN | $670.08 | 1 |
| TX | $679.34–$769.45 | 8 |
| UT | $697.07 | 1 |
| VA | $719.24–$853.33 | 2 |
| VI | $742.58 | 1 |
| VT | $719.13 | 1 |
| WA | $764.73–$876.49 | 2 |
| WI | $695.12 | 1 |
| WV | $665.24 | 1 |
| WY | $730.42 | 1 |
Compare 37281 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $649.85 | Facility $123.49 |
| Alaska* | Office $816.26 | Facility $175.61 |
| Arizona | Office $713.95 | Facility $131.05 |
| Arkansas | Office $638.90 | Facility $122.17 |
| Atlanta | Office $750.71 | Facility $139.53 |
| Austin | Office $769.45 | Facility $133.01 |
| Bakersfield | Office $788.38 | Facility $129.08 |
| Baltimore/Surr. Cntys | Office $787.80 | Facility $142.34 |
| Beaumont | Office $679.34 | Facility $131.93 |
| Brazoria | Office $726.58 | Facility $130.45 |
| Chicago | Office $768.47 | Facility $163.92 |
| Chico | Office $786.57 | Facility $127.27 |
| Colorado | Office $771.82 | Facility $131.77 |
| Connecticut | Office $790.06 | Facility $142.19 |
| Dallas | Office $731.47 | Facility $132.33 |
| Dc + Md/Va Suburbs | Office $853.33 | Facility $144.71 |
| Delaware | Office $727.06 | Facility $132.73 |
| Detroit | Office $729.79 | Facility $149.30 |
| East St. Louis | Office $709.40 | Facility $155.97 |
| El Centro | Office $786.68 | Facility $127.38 |
| Fort Lauderdale | Office $761.95 | Facility $152.58 |
| Fort Worth | Office $725.62 | Facility $132.49 |
| Fresno | Office $786.57 | Facility $127.27 |
| Galveston | Office $728.87 | Facility $131.53 |
| Hanford-Corcoran | Office $786.57 | Facility $127.27 |
| Hawaii, Guam | Office $810.98 | Facility $127.02 |
| Houston | Office $740.95 | Facility $143.61 |
| Idaho | Office $675.43 | Facility $122.00 |
| Indiana | Office $680.01 | Facility $122.37 |
| Iowa | Office $670.68 | Facility $120.26 |
| Kansas | Office $666.29 | Facility $122.49 |
| Kentucky | Office $666.14 | Facility $131.36 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $845.20 | Facility $133.57 |
| Madera | Office $786.57 | Facility $127.27 |
| Manhattan | Office $854.94 | Facility $155.94 |
| Merced | Office $786.57 | Facility $127.27 |
| Metropolitan Boston | Office $856.94 | Facility $138.69 |
| Metropolitan Kansas City | Office $698.20 | Facility $133.34 |
| Metropolitan Philadelphia | Office $767.38 | Facility $141.17 |
| Metropolitan St. Louis | Office $706.73 | Facility $134.06 |
| Miami | Office $795.03 | Facility $168.82 |
| Minnesota | Office $738.44 | Facility $119.44 |
| Mississippi | Office $645.07 | Facility $127.13 |
| Modesto | Office $786.57 | Facility $127.27 |
| Montana** | Office $736.11 | Facility $134.56 |
| Napa | Office $926.85 | Facility $134.00 |
| Nebraska | Office $675.17 | Facility $119.94 |
| Nevada** | Office $733.09 | Facility $130.94 |
| New Hampshire | Office $758.57 | Facility $132.36 |
| New Mexico | Office $689.63 | Facility $138.01 |
| New Orleans | Office $702.93 | Facility $136.87 |
| North Carolina | Office $687.07 | Facility $125.82 |
| North Dakota** | Office $723.06 | Facility $121.51 |
| Northern Nj | Office $842.19 | Facility $144.39 |
| Nyc Suburbs/Long Island | Office $877.49 | Facility $162.25 |
| Ohio | Office $682.92 | Facility $133.71 |
| Oklahoma | Office $665.55 | Facility $128.37 |
| Oxnard-Thousand Oaks-Ventura | Office $842.38 | Facility $131.35 |
| Portland | Office $800.26 | Facility $131.94 |
| Poughkpsie/N Nyc Suburbs | Office $803.62 | Facility $144.92 |
| Puerto Rico | Office $742.58 | Facility $134.41 |
| Queens | Office $864.04 | Facility $153.01 |
| Redding | Office $786.57 | Facility $127.27 |
| Rest Of California | Office $786.57 | Facility $127.27 |
| Rest Of Florida | Office $720.23 | Facility $145.15 |
| Rest Of Georgia | Office $674.09 | Facility $137.50 |
| Rest Of Illinois | Office $695.16 | Facility $145.94 |
| Rest Of Louisiana | Office $664.63 | Facility $132.26 |
| Rest Of Maine | Office $678.71 | Facility $125.28 |
| Rest Of Maryland | Office $742.72 | Facility $133.95 |
| Rest Of Massachusetts | Office $765.82 | Facility $132.39 |
| Rest Of Michigan | Office $685.59 | Facility $136.37 |
| Rest Of Missouri | Office $650.86 | Facility $132.33 |
| Rest Of New Jersey | Office $798.78 | Facility $141.89 |
| Rest Of New York | Office $698.91 | Facility $127.44 |
| Rest Of Oregon | Office $727.15 | Facility $128.01 |
| Rest Of Pennsylvania | Office $684.60 | Facility $132.38 |
| Rest Of Texas | Office $702.71 | Facility $131.84 |
| Rest Of Washington | Office $764.73 | Facility $131.29 |
| Rhode Island | Office $755.94 | Facility $134.54 |
| Riverside-San Bernardino-Ontario | Office $793.65 | Facility $134.36 |
| Sacramento-Roseville-Folsom | Office $829.60 | Facility $130.00 |
| Salinas | Office $826.64 | Facility $129.45 |
| San Diego-Chula Vista-Carlsbad | Office $849.39 | Facility $129.94 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $985.45 | Facility $137.27 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $984.70 | Facility $136.52 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $1008.30 | Facility $140.86 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $1005.23 | Facility $137.80 |
| San Luis Obispo-Paso Robles | Office $812.96 | Facility $127.80 |
| Santa Cruz-Watsonville | Office $860.02 | Facility $129.14 |
| Santa Maria-Santa Barbara | Office $830.64 | Facility $129.23 |
| Santa Rosa-Petaluma | Office $868.90 | Facility $130.20 |
| Seattle (King Cnty) | Office $876.49 | Facility $138.39 |
| South Carolina | Office $686.19 | Facility $130.36 |
| South Dakota** | Office $721.52 | Facility $119.97 |
| Southern Maine | Office $722.50 | Facility $126.36 |
| Stockton | Office $786.57 | Facility $127.27 |
| Suburban Chicago | Office $770.45 | Facility $152.66 |
| Tennessee | Office $670.08 | Facility $123.27 |
| Utah | Office $697.07 | Facility $131.62 |
| Vallejo | Office $925.77 | Facility $132.92 |
| Vermont | Office $719.13 | Facility $123.59 |
| Virgin Islands | Office $742.58 | Facility $134.41 |
| Virginia | Office $719.24 | Facility $127.91 |
| Visalia | Office $786.57 | Facility $127.27 |
| West Virginia | Office $665.24 | Facility $142.49 |
| Wisconsin | Office $695.12 | Facility $118.83 |
| Wyoming** | Office $730.42 | Facility $128.87 |
| Yuba City | Office $786.57 | Facility $127.27 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
37281 billing questions
When is 37281 reported instead of 37280?
37280 represents the first vessel treated with simple angioplasty. Report 37281 for each additional tibial or peroneal artery treated in that simple angioplasty category.
Is 37281 billed by lesion or by vessel?
It is reported by additional vessel, not by lesion or balloon inflation. The documentation should identify each artery treated.
How does 37281 differ from 37283?
Both represent additional tibial or peroneal vessels, but 37281 is for simple angioplasty and 37283 is for the complex category.
Can 37281 be reported by itself?
No. It is an add-on code and must be reported with the appropriate primary procedure, such as 37280 for the first vessel treated with simple angioplasty.
How is bilateral treatment paid?
CMS pays a bilateral procedure reported with modifier 50 at 150%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,63837278,,Rvsc evsc fpvt st ath cpx ea,A,,6.00,108.64,,0.76,,1.35,115.99,8.11,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63937279,,Iv lithotrp fpvt w/in sm art,A,,4.00,133.99,,0.63,,0.81,138.80,5.44,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64037280,,Revsc evsc tpvt angio sf 1st,A,,9.80,68.64,,1.29,,2.31,80.75,13.40,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64137281,,Revsc evsc tpvt angio sf ea,A,,3.00,18.38,,0.37,,0.66,22.04,4.03,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64237282,,Rvsc evsc tpvt angio cplx 1,A,,12.31,167.37,,1.60,,2.90,182.58,16.81,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64337283,,Rvsc evsc tpvt angio cplx ea,A,,4.26,20.63,,0.53,,0.95,25.84,5.74,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64437284,,Revsc evasc tpvt st sf 1st,A,,10.00,156.29,,1.52,,2.30,168.59,13.82,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00