No office rate
The target territories overlap, but the approach differs: 37217 is retrograde and 37218 is antegrade.
On this page
CMS RVU26D · Effective 2026-10-01
37217 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$963.92
Base rate per service
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.
Vascular intervention
About 37217: Retrograde innominate or thoracic carotid stenting
Reports retrograde endovascular stenting of an innominate artery or intrathoracic common carotid artery lesion, including angioplasty when performed.
This service places an intravascular stent in the innominate artery or intrathoracic portion of the common carotid artery using a retrograde approach. It is typically performed by a vascular surgeon, interventional radiologist, or another appropriately trained endovascular specialist in a hospital setting. Access may be open or percutaneous; the approach proceeds back toward the aortic arch from the target vessel. Angioplasty, when performed, and the procedure’s radiological supervision and interpretation are included.
Report 37217 for the treated vessel and retrograde approach, not for a stent in the cervical carotid artery. The operative report should identify the lesion’s arterial location, access method, direction of treatment, and stent placement. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 37217
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU19.87 · 68%
- Practice expense (office) RVU4.43 · 15%
- Malpractice RVU5.02 · 17%
285
Medicare services in 2024 · #4031 by national volume
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.
37217 compared with similar codes
Office rates for Delaware, from the same CMS release.
37215
No office rateTranscath stent cca w/eps
37215 describes extracranial carotid stenting with embolic protection. Use 37217 for retrograde stenting of the innominate artery or intrathoracic common carotid artery.
37216
No office rateTranscath stent cca w/o eps
37216 describes extracranial carotid stenting without embolic protection. It is not the code for retrograde treatment of the innominate artery or intrathoracic common carotid artery.
The same code, a different location
How does Delaware compare?
37217 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 37217
Office
Unavailable
Facility
$888.05
No comparable office rate is available.
Arkansas
Arkansas · 37217
Office
Unavailable
Facility
$877.13
No comparable office rate is available.
Arizona
Arizona · 37217
Office
Unavailable
Facility
$950.58
No comparable office rate is available.
Bakersfield
California · 37217
Office
Unavailable
Facility
$940.57
No comparable office rate is available.
Chico
California · 37217
Office
Unavailable
Facility
$927.00
No comparable office rate is available.
El Centro
California · 37217
Office
Unavailable
Facility
$927.84
No comparable office rate is available.
Fresno
California · 37217
Office
Unavailable
Facility
$927.00
No comparable office rate is available.
Hanford-Corcoran
California · 37217
Office
Unavailable
Facility
$927.00
No comparable office rate is available.
Madera
California · 37217
Office
Unavailable
Facility
$927.00
No comparable office rate is available.
Merced
California · 37217
Office
Unavailable
Facility
$927.00
No comparable office rate is available.
Modesto
California · 37217
Office
Unavailable
Facility
$927.00
No comparable office rate is available.
Napa
California · 37217
Office
Unavailable
Facility
$985.68
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 37217
Office
Unavailable
Facility
$961.61
No comparable office rate is available.
Redding
California · 37217
Office
Unavailable
Facility
$927.00
No comparable office rate is available.
Rest Of California
California · 37217
Office
Unavailable
Facility
$927.00
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 37217
Office
Unavailable
Facility
$980.82
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 37217
Office
Unavailable
Facility
$949.53
No comparable office rate is available.
Salinas
California · 37217
Office
Unavailable
Facility
$945.61
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 37217
Office
Unavailable
Facility
$951.43
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 37217
Office
Unavailable
Facility
$1012.32
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 37217
Office
Unavailable
Facility
$1006.62
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 37217
Office
Unavailable
Facility
$1039.92
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 37217
Office
Unavailable
Facility
$1016.61
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 37217
Office
Unavailable
Facility
$933.36
No comparable office rate is available.
Santa Cruz-Watsonville
California · 37217
Office
Unavailable
Facility
$947.26
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 37217
Office
Unavailable
Facility
$944.66
No comparable office rate is available.
Santa Rosa-Petaluma
California · 37217
Office
Unavailable
Facility
$955.16
No comparable office rate is available.
Stockton
California · 37217
Office
Unavailable
Facility
$927.00
No comparable office rate is available.
Vallejo
California · 37217
Office
Unavailable
Facility
$977.47
No comparable office rate is available.
Visalia
California · 37217
Office
Unavailable
Facility
$927.00
No comparable office rate is available.
Yuba City
California · 37217
Office
Unavailable
Facility
$927.00
No comparable office rate is available.
Colorado
Colorado · 37217
Office
Unavailable
Facility
$960.03
No comparable office rate is available.
Connecticut
Connecticut · 37217
Office
Unavailable
Facility
$1039.19
No comparable office rate is available.
Fort Lauderdale
Florida · 37217
Office
Unavailable
Facility
$1116.72
No comparable office rate is available.
Rest Of Florida
Florida · 37217
Office
Unavailable
Facility
$1057.14
No comparable office rate is available.
Atlanta
Georgia · 37217
Office
Unavailable
Facility
$1017.38
No comparable office rate is available.
Rest Of Georgia
Georgia · 37217
Office
Unavailable
Facility
$995.53
No comparable office rate is available.
Hawaii, Guam
Hawaii · 37217
Office
Unavailable
Facility
$929.00
No comparable office rate is available.
Iowa
Iowa · 37217
Office
Unavailable
Facility
$865.63
No comparable office rate is available.
Idaho
Idaho · 37217
Office
Unavailable
Facility
$879.11
No comparable office rate is available.
East St. Louis
Illinois · 37217
Office
Unavailable
Facility
$1137.50
No comparable office rate is available.
Rest Of Illinois
Illinois · 37217
Office
Unavailable
Facility
$1060.84
No comparable office rate is available.
Suburban Chicago
Illinois · 37217
Office
Unavailable
Facility
$1117.40
No comparable office rate is available.
Indiana
Indiana · 37217
Office
Unavailable
Facility
$882.33
No comparable office rate is available.
Kansas
Kansas · 37217
Office
Unavailable
Facility
$881.94
No comparable office rate is available.
Kentucky
Kentucky · 37217
Office
Unavailable
Facility
$948.64
No comparable office rate is available.
New Orleans
Louisiana · 37217
Office
Unavailable
Facility
$993.39
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 37217
Office
Unavailable
Facility
$955.26
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 37217
Office
Unavailable
Facility
$1016.79
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 37217
Office
Unavailable
Facility
$963.74
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 37217
Office
Unavailable
Facility
$1040.47
No comparable office rate is available.
Rest Of Maryland
Maryland · 37217
Office
Unavailable
Facility
$973.98
No comparable office rate is available.
Rest Of Maine
Maine · 37217
Office
Unavailable
Facility
$904.10
No comparable office rate is available.
Southern Maine
Maine · 37217
Office
Unavailable
Facility
$916.11
No comparable office rate is available.
Detroit
Michigan · 37217
Office
Unavailable
Facility
$1089.16
No comparable office rate is available.
Rest Of Michigan
Michigan · 37217
Office
Unavailable
Facility
$988.07
No comparable office rate is available.
Minnesota
Minnesota · 37217
Office
Unavailable
Facility
$865.56
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 37217
Office
Unavailable
Facility
$966.43
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 37217
Office
Unavailable
Facility
$972.55
No comparable office rate is available.
Rest Of Missouri
Missouri · 37217
Office
Unavailable
Facility
$954.54
No comparable office rate is available.
Mississippi
Mississippi · 37217
Office
Unavailable
Facility
$914.98
No comparable office rate is available.
Montana**
Montana · 37217
Office
Unavailable
Facility
$978.98
No comparable office rate is available.
North Carolina
North Carolina · 37217
Office
Unavailable
Facility
$908.87
No comparable office rate is available.
North Dakota**
North Dakota · 37217
Office
Unavailable
Facility
$879.72
No comparable office rate is available.
Nebraska
Nebraska · 37217
Office
Unavailable
Facility
$863.63
No comparable office rate is available.
New Hampshire
New Hampshire · 37217
Office
Unavailable
Facility
$964.42
No comparable office rate is available.
Northern Nj
New Jersey · 37217
Office
Unavailable
Facility
$1056.20
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 37217
Office
Unavailable
Facility
$1035.74
No comparable office rate is available.
New Mexico
New Mexico · 37217
Office
Unavailable
Facility
$1000.74
No comparable office rate is available.
Nevada**
Nevada · 37217
Office
Unavailable
Facility
$951.46
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 37217
Office
Unavailable
Facility
$1193.45
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 37217
Office
Unavailable
Facility
$1058.45
No comparable office rate is available.
Queens
New York · 37217
Office
Unavailable
Facility
$1122.83
No comparable office rate is available.
Rest Of New York
New York · 37217
Office
Unavailable
Facility
$922.12
No comparable office rate is available.
Ohio
Ohio · 37217
Office
Unavailable
Facility
$967.78
No comparable office rate is available.
Oklahoma
Oklahoma · 37217
Office
Unavailable
Facility
$926.09
No comparable office rate is available.
Portland
Oregon · 37217
Office
Unavailable
Facility
$963.43
No comparable office rate is available.
Rest Of Oregon
Oregon · 37217
Office
Unavailable
Facility
$928.92
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 37217
Office
Unavailable
Facility
$1029.69
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 37217
Office
Unavailable
Facility
$957.96
No comparable office rate is available.
Puerto Rico
Puerto Rico · 37217
Office
Unavailable
Facility
$978.43
No comparable office rate is available.
Rhode Island
Rhode Island · 37217
Office
Unavailable
Facility
$978.70
No comparable office rate is available.
South Carolina
South Carolina · 37217
Office
Unavailable
Facility
$942.92
No comparable office rate is available.
South Dakota**
South Dakota · 37217
Office
Unavailable
Facility
$867.98
No comparable office rate is available.
Tennessee
Tennessee · 37217
Office
Unavailable
Facility
$888.22
No comparable office rate is available.
Austin
Texas · 37217
Office
Unavailable
Facility
$970.11
No comparable office rate is available.
Beaumont
Texas · 37217
Office
Unavailable
Facility
$954.09
No comparable office rate is available.
Brazoria
Texas · 37217
Office
Unavailable
Facility
$946.40
No comparable office rate is available.
Dallas
Texas · 37217
Office
Unavailable
Facility
$960.89
No comparable office rate is available.
Fort Worth
Texas · 37217
Office
Unavailable
Facility
$961.59
No comparable office rate is available.
Galveston
Texas · 37217
Office
Unavailable
Facility
$954.75
No comparable office rate is available.
Houston
Texas · 37217
Office
Unavailable
Facility
$1046.63
No comparable office rate is available.
Rest Of Texas
Texas · 37217
Office
Unavailable
Facility
$955.50
No comparable office rate is available.
Utah
Utah · 37217
Office
Unavailable
Facility
$953.33
No comparable office rate is available.
Virginia
Virginia · 37217
Office
Unavailable
Facility
$927.50
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 37217
Office
Unavailable
Facility
$978.43
No comparable office rate is available.
Vermont
Vermont · 37217
Office
Unavailable
Facility
$895.00
No comparable office rate is available.
Rest Of Washington
Washington · 37217
Office
Unavailable
Facility
$955.71
No comparable office rate is available.
Seattle (King Cnty)
Washington · 37217
Office
Unavailable
Facility
$1015.40
No comparable office rate is available.
Wisconsin
Wisconsin · 37217
Office
Unavailable
Facility
$857.07
No comparable office rate is available.
West Virginia
West Virginia · 37217
Office
Unavailable
Facility
$1032.20
No comparable office rate is available.
Wyoming**
Wyoming · 37217
Office
Unavailable
Facility
$935.72
No comparable office rate is available.
See how rates vary across the country
37217 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 37217 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1060.31
$963.92 × 110% = $1060.31
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 37217 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,597
- Code
- 37217
- Physician work
- 19.87
- Practice expense
- 4.43
- Malpractice
- 5.02
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.87 | × 1.005 | 19.9693 |
| Practice expense | 4.43 | × 0.988 | 4.3768 |
| Malpractice | 5.02 | × 0.899 | 4.5130 |
| Total RVUs | 28.8592 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$963.92
Open 37217 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.87 | 1.005 |
| Practice expense | 4.43 | 0.988 |
| Malpractice | 5.02 | 0.899 |
(19.87 × 1.005 + 4.43 × 0.988 + 5.02 × 0.899) × $33.4009 = $963.92
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
37217 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $963.92 | RVU26D |
| 2026-07-01 | Not available in this setting | $963.92 | RVU26C |
| 2026-04-01 | Not available in this setting | $963.92 | RVU26B |
| 2026-01-01 | Not available in this setting | $963.92 | RVU26A |
| 2025-10-01 | Not available in this setting | $1024.73 | RVU25D |
| 2025-07-01 | Not available in this setting | $1024.73 | RVU25C |
| 2025-04-01 | Not available in this setting | $1024.73 | RVU25B |
| 2025-01-01 | Not available in this setting | $1024.73 | RVU25A |
37217 billing questions
How does 37217 differ from 37218?
Both address stenting of the innominate artery or intrathoracic common carotid artery. Use 37217 for the retrograde approach and 37218 for the antegrade approach.
Can angioplasty be billed separately with 37217?
Angioplasty performed as part of the stenting service is included. The code also includes the radiological supervision and interpretation for the intervention.
When is 37217 more appropriate than 37215 or 37216?
37217 is for retrograde stenting in the innominate artery or intrathoracic common carotid artery. Codes 37215 and 37216 address stenting in the extracranial carotid artery and distinguish use of embolic protection.
What documentation supports the retrograde approach?
Document the treated artery and lesion location, access method, direction of catheter treatment, and stent placement. The record should make clear that the target is the innominate artery or intrathoracic common carotid artery.
How does Medicare handle bilateral reporting and multiple procedures?
Bilateral reporting with modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted under the listed CMS rules.
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.
4,59437214,,Cessj therapy cath removal,A,,2.43,0.31,NA,0.31,,0.47,3.21,3.21,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,59537215,,Transcath stent cca w/eps,R,,17.31,4.70,NA,4.70,,4.62,26.63,26.63,0,090,0.09,0.84,0.07,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,59637216,,Transcath stent cca w/o eps,N,+,17.53,6.34,NA,6.34,,1.87,25.74,25.74,9,090,0.09,0.84,0.07,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,59737217,,Stent placemt retro carotid,A,,19.87,4.43,NA,4.43,,5.02,29.32,29.32,0,090,0.09,0.84,0.07,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,59837218,,Stent placemt ante carotid,A,,14.38,4.25,NA,4.25,,3.58,22.21,22.21,0,090,0.09,0.84,0.07,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,59937236,,Open/perq place stent 1st,A,,8.53,67.32,,1.18,,1.97,77.82,11.68,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60037237,,Open/perq place stent ea add,A,,4.14,31.27,,0.48,,1.00,36.41,5.62,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503