$1,260.10–$1,595.24
Choose 37191 for filter placement and 37192 when the procedure repositions an already placed filter.
On this page
CMS RVU26D · Effective 2026-10-01
37191 Vena cava filter Medicare reimbursement rates in California
Reports catheter-based placement of a vena cava filter, typically to reduce pulmonary embolism risk when anticoagulation is unsuitable or insufficient. Compare 37191 office and facility rates across CMS payment localities in California.
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 37191 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$2042.67–$2650.78
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $608.11 per service.
Facility setting
$185.95–$207.89
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $21.94 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 37191 pays more and less in California
29 payment localities
$2042.67 to $2650.78
Interventional radiology
About 37191: Endovascular vena cava filter placement
Reports catheter-based placement of a vena cava filter, typically to reduce pulmonary embolism risk when anticoagulation is unsuitable or insufficient.
An interventional radiologist, vascular surgeon, or other qualified proceduralist advances a filter through venous access into the vena cava under imaging guidance. Placement commonly takes place in a hospital interventional radiology or catheterization suite. The service covers the endovascular placement, including the access and imaging work integral to deploying the filter. Clinical circumstances may include venous thromboembolism when anticoagulation cannot be used or has not adequately prevented embolic risk.
Select this code for filter placement, not for repositioning an existing filter or retrieving one. The record should support the clinical indication and document the access, imaging-guided procedure, and filter deployment. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery for this code, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 37191
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.35 · 8%
- Practice expense (office) RVU51.45 · 91%
- Malpractice RVU0.64 · 1%
18.3K
Medicare services in 2024 · #1183 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.
37191 compared with similar codes
Office rates for California, from the same CMS release.
$1,509.49–$1,927.26
37193 is for endovascular retrieval of an existing filter; 37191 is for placing one.
$1,709.33–$2,183.73
37187 treats venous thrombus with mechanical thrombectomy. It does not describe vena cava filter placement.
Compare 37191 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $2044.52 | Facility $187.80 |
| Chico | Office $2042.67 | Facility $185.95 |
| El Centro | Office $2042.78 | Facility $186.05 |
| Fresno | Office $2042.67 | Facility $185.95 |
| Hanford-Corcoran | Office $2042.67 | Facility $185.95 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $2198.40 | Facility $194.29 |
| Madera | Office $2042.67 | Facility $185.95 |
| Merced | Office $2042.67 | Facility $185.95 |
| Modesto | Office $2042.67 | Facility $185.95 |
| Napa | Office $2430.26 | Facility $197.44 |
| Oxnard-Thousand Oaks-Ventura | Office $2193.92 | Facility $191.50 |
| Redding | Office $2042.67 | Facility $185.95 |
| Rest Of California | Office $2042.67 | Facility $185.95 |
| Riverside-San Bernardino-Ontario | Office $2049.59 | Facility $192.87 |
| Sacramento-Roseville-Folsom | Office $2160.57 | Facility $190.34 |
| Salinas | Office $2152.97 | Facility $189.52 |
| San Diego-Chula Vista-Carlsbad | Office $2216.54 | Facility $190.40 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $2591.96 | Facility $203.29 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $2591.23 | Facility $202.56 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $2650.78 | Facility $207.89 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $2647.81 | Facility $204.92 |
| San Luis Obispo-Paso Robles | Office $2116.57 | Facility $186.99 |
| Santa Cruz-Watsonville | Office $2247.75 | Facility $189.43 |
| Santa Maria-Santa Barbara | Office $2164.56 | Facility $189.25 |
| Santa Rosa-Petaluma | Office $2271.40 | Facility $191.05 |
| Stockton | Office $2042.67 | Facility $185.95 |
| Vallejo | Office $2429.21 | Facility $196.40 |
| Visalia | Office $2042.67 | Facility $185.95 |
| Yuba City | Office $2042.67 | Facility $185.95 |
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.
37191 billing questions
When should 37191 be used instead of 37192?
Use 37191 to place a filter. Code 37192 describes repositioning an existing vena cava filter.
Is filter retrieval reported with 37191?
No. Retrieval of an existing endovascular vena cava filter is reported with 37193, rather than as a placement service.
Can imaging guidance be billed separately?
Imaging guidance and radiological supervision and interpretation integral to filter placement are included in 37191.
Should modifier 50 be appended?
No. Modifier 50 is inappropriate for this service. If other procedures are performed in the same session, the standard multiple procedure reduction applies.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 37191. Co-surgeons and team surgery are not permitted for this code.
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.
4,58137186,,Sec art thrombectomy add-on,A,,4.80,28.79,,0.66,,1.06,34.65,6.52,0,ZZZ,0.00,0.00,0.00,0,2,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58237187,,Venous mech thrombectomy,A,,7.59,39.01,,1.45,,1.31,47.91,10.35,0,000,0.00,0.00,0.00,2,1,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58337188,,Ven mechnl thrmbc repeat tx,A,,5.32,34.86,,1.12,,1.06,41.24,7.50,0,000,0.00,0.00,0.00,0,1,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58437191,,Ins endovas vena cava filtr,A,,4.35,51.45,,0.73,,0.64,56.44,5.72,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58537192,,Redo endovas vena cava filtr,A,,6.92,27.14,,0.64,,1.76,35.82,9.32,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58637193,,Rem endovas vena cava filter,A,,6.92,34.29,,1.05,,1.07,42.28,9.04,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,58737195,,Thrombolytic therapy stroke,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00