| Code | Description | States | Median rate |
|---|---|---|---|
| 34502 | Vena cava reconstruction | 44 | $1,272.54 |
| 34701 | Abdominal aorta stent graft, tube type, not ruptured | 45 | $965.00 |
| 34702 | Abdominal aorta stent graft, tube type, ruptured | 45 | $1,410.01 |
| 34703 | Abdominal aorta stent graft, aorto-uni-iliac, not ruptured | 45 | $1,072.34 |
| 34704 | Abdominal aorta stent graft, aorto-uni-iliac, ruptured | 45 | $1,763.58 |
| 34705 | Abdominal aorta stent graft, aorto-bi-iliac, not ruptured | 45 | $1,190.97 |
| 34706 | Abdominal aorta stent graft, aorto-bi-iliac, ruptured | 45 | $1,776.62 |
| 34707 | Pelvic (iliac) artery stent graft, not ruptured | 45 | $910.30 |
| 34708 | Pelvic (iliac) artery stent graft, ruptured | 45 | $1,420.57 |
| 34709 | Abdominal aorta stent graft extension, per vessel (add-on) | 45 | $250.00 |
| 34713 | Large-sheath groin artery access for a stent graft (add-on) | 45 | $96.50 |
| 34714 | Open groin artery conduit for a stent graft (add-on) | 45 | $211.86 |
| 34715 | Open armpit artery exposure for a stent graft (add-on) | 45 | $233.51 |
| 34716 | Open armpit artery conduit for a stent graft (add-on) | 45 | $293.10 |
| 34812 | Open groin artery exposure for a stent graft, one side | 46 | $201.62 |
| 34813 | Femoral-to-femoral graft during aortic stent graft (add-on) | 45 | $196.20 |
| 34820 | Open pelvic artery exposure for a stent graft (add-on) | 45 | $312.13 |
| 34833 | Open pelvic artery conduit for a stent graft (add-on) | 44 | $384.31 |
| 34834 | Open arm artery exposure for a stent graft (add-on) | 44 | $127.22 |
| 34841 | Branched aortic stent graft (organ arteries), 1 branch | 22 | $1,076.21 |
| 34842 | Branched aortic stent graft (organ arteries), 2 branches | 23 | $1,176.46 |
| 34843 | Branched aortic stent graft (organ arteries), 3 branches | 22 | $1,274.11 |
| 34844 | Branched aortic stent graft (organ arteries), 4 branches | 22 | $1,405.01 |
| 34845 | Branched aortic stent graft, organ and pelvic, 1 branch | 23 | $1,358.34 |
| 34846 | Branched aortic stent graft, organ and pelvic, 2 branches | 23 | $1,494.18 |
| 34847 | Branched aortic stent graft, organ and pelvic, 3 branches | 23 | $1,561.24 |
| 34848 | Branched aortic stent graft, organ and pelvic, 4 branches | 22 | $1,640.39 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.