| Code | Description | States | Median rate |
|---|---|---|---|
| 35081 | Abdominal aortic aneurysm repair, open | 46 | $1,392.26 |
| 35082 | Ruptured abdominal aortic aneurysm repair, open | 46 | $1,704.54 |
| 35091 | Abdominal aortic aneurysm repair involving organ arteries | 46 | $1,485.78 |
| 35092 | Ruptured abdominal aortic aneurysm repair, organ arteries | 46 | $2,011.90 |
| 35102 | Abdominal aortic aneurysm repair involving pelvic arteries | 46 | $1,491.30 |
| 35103 | Ruptured abdominal aortic aneurysm repair, pelvic arteries | 46 | $1,746.17 |
| 35111 | Spleen artery aneurysm repair | 46 | $1,044.73 |
| 35112 | Ruptured spleen artery aneurysm repair | 46 | $1,283.85 |
| 35121 | Liver, kidney or bowel artery aneurysm repair | 46 | $1,255.02 |
| 35122 | Ruptured liver, kidney or bowel artery aneurysm repair | 46 | $1,566.67 |
| 35131 | Pelvic artery aneurysm repair | 46 | $1,090.00 |
| 35132 | Ruptured pelvic artery aneurysm repair | 46 | $1,286.93 |
| 35141 | Femoral artery aneurysm repair | 46 | $883.36 |
| 35142 | Ruptured femoral artery aneurysm repair | 46 | $1,065.14 |
| 35151 | Behind-the-knee artery aneurysm repair | 46 | $975.25 |
| 35152 | Ruptured behind-the-knee artery aneurysm repair | 46 | $1,101.51 |
| 35301 | Carotid artery plaque removal (endarterectomy) | 46 | $924.15 |
| 35302 | Plaque removal from the superficial femoral artery | 46 | $892.66 |
| 35303 | Plaque removal from the behind-the-knee artery | 46 | $970.03 |
| 35305 | Plaque removal from a lower leg artery, first vessel | 46 | $959.64 |
| 35306 | Plaque removal from a lower leg artery, each added | 46 | $363.62 |
| 35331 | Plaque removal from the abdominal aorta | 46 | $1,166.34 |
| 35341 | Plaque removal from a bowel, liver or kidney artery | 46 | $1,125.76 |
| 35351 | Plaque removal from a pelvic artery | 46 | $1,042.57 |
| 35355 | Plaque removal from the pelvic and femoral arteries | 46 | $880.92 |
| 35361 | Plaque removal from the aorta and pelvic arteries | 46 | $1,236.81 |
| 35363 | Plaque removal from the aorta, pelvic and femoral arteries | 45 | $1,313.75 |
| 35371 | Plaque removal from the common femoral artery | 46 | $674.00 |
| 35372 | Plaque removal from the deep femoral artery | 46 | $788.90 |
| 35390 | Repeat carotid plaque removal (add-on) | 45 | $135.00 |
| 35500 | Arm vein harvest for leg or coronary bypass (add-on) | 43 | $249.10 |
| 35506 | Vein bypass, carotid to subclavian artery | 46 | $1,041.91 |
| 35508 | Vein bypass, carotid to vertebral artery | 45 | $1,049.19 |
| 35509 | Vein bypass, carotid to opposite carotid | 46 | $1,107.68 |
| 35510 | Vein bypass, carotid to upper arm artery | 45 | $975.05 |
| 35511 | Vein bypass, subclavian to subclavian artery | 46 | $911.02 |
| 35512 | Vein bypass, subclavian to upper arm artery | 45 | $950.08 |
| 35515 | Vein bypass, subclavian to vertebral artery | 46 | $1,021.00 |
| 35516 | Vein bypass, subclavian to armpit artery | 46 | $988.55 |
| 35518 | Vein bypass, armpit to armpit artery | 45 | $936.73 |
| 35521 | Vein bypass, armpit to femoral artery | 46 | $998.99 |
| 35522 | Vein bypass, armpit to upper arm artery | 46 | $925.38 |
| 35523 | Vein bypass, upper arm to forearm artery | 46 | $970.19 |
| 35525 | Vein bypass, upper arm to upper arm artery | 46 | $889.53 |
| 35526 | Vein bypass, aorta to a neck or chest artery | 46 | $1,362.67 |
| 35531 | Vein bypass, aorta to a liver or bowel artery | 46 | $1,524.60 |
| 35533 | Vein bypass, armpit to both femoral arteries | 45 | $1,205.32 |
| 35535 | Vein bypass, liver to kidney artery | 46 | $1,525.37 |
| 35536 | Vein bypass, spleen to kidney artery | 46 | $1,323.43 |
| 35537 | Vein bypass, aorta to pelvic artery | 46 | $1,687.32 |
| 35538 | Vein bypass, aorta to both pelvic arteries | 46 | $1,887.75 |
| 35539 | Vein bypass, aorta to femoral artery | 46 | $1,773.14 |
| 35540 | Vein bypass, aorta to both femoral arteries | 46 | $1,977.15 |
| 35556 | Vein bypass, femoral to behind-the-knee artery | 46 | $1,109.07 |
| 35558 | Vein bypass, femoral to femoral artery | 46 | $983.38 |
| 35560 | Vein bypass, aorta to kidney artery | 45 | $1,348.58 |
| 35563 | Vein bypass, pelvic to pelvic artery | 46 | $1,075.76 |
| 35565 | Vein bypass, pelvic to femoral artery | 46 | $1,037.10 |
| 35566 | Vein bypass, femoral to lower leg artery | 46 | $1,313.96 |
| 35570 | Vein bypass, lower leg artery to lower leg artery | 46 | $1,179.90 |
| 35571 | Vein bypass, behind-the-knee to lower leg artery | 46 | $1,081.36 |
| 35572 | Leg vein harvest for vascular reconstruction (add-on) | 44 | $278.76 |
| 35600 | Arm artery harvest for coronary bypass (add-on) | 45 | $173.43 |
| 35606 | Synthetic bypass, carotid to subclavian artery | 46 | $960.93 |
| 35612 | Synthetic bypass, subclavian to subclavian artery | 46 | $847.78 |
| 35616 | Synthetic bypass, subclavian to armpit artery | 46 | $901.79 |
| 35621 | Synthetic bypass, armpit to femoral artery | 46 | $899.71 |
| 35623 | Synthetic bypass, armpit to knee or lower leg artery | 46 | $1,033.91 |
| 35626 | Synthetic bypass, aorta to a neck or chest artery | 46 | $1,289.62 |
| 35631 | Synthetic bypass, aorta to a liver, bowel or kidney artery | 46 | $1,411.26 |
| 35637 | Synthetic bypass, aorta to pelvic artery | 46 | $1,351.35 |
| 35638 | Synthetic bypass, aorta to both pelvic arteries | 46 | $1,371.97 |
| 35642 | Synthetic bypass, carotid to vertebral artery | 45 | $838.75 |
| 35645 | Synthetic bypass, subclavian to vertebral artery | 45 | $824.98 |
| 35646 | Synthetic bypass, aorta to both femoral arteries | 46 | $1,377.04 |
| 35647 | Synthetic bypass, aorta to femoral artery | 45 | $1,243.00 |
| 35650 | Synthetic bypass, armpit to armpit artery | 46 | $883.62 |
| 35654 | Synthetic bypass, armpit to both femoral arteries | 46 | $1,118.80 |
| 35656 | Synthetic bypass, femoral to behind-the-knee artery | 46 | $916.00 |
| 35661 | Synthetic bypass, femoral to femoral artery | 46 | $855.60 |
| 35663 | Synthetic bypass, pelvic to pelvic artery | 46 | $961.60 |
| 35665 | Synthetic bypass, pelvic to femoral artery | 45 | $951.42 |
| 35666 | Synthetic bypass, femoral to lower leg artery | 46 | $1,032.70 |
| 35671 | Synthetic bypass, behind-the-knee to lower leg artery | 46 | $911.00 |
| 35700 | Repeat leg bypass surgery (add-on) | 45 | $130.21 |
| 35701 | Surgical exploration of a neck artery, no repair | 46 | $364.44 |
| 35702 | Surgical exploration of an arm artery, no repair | 45 | $324.79 |
| 35703 | Surgical exploration of a leg artery, no repair | 45 | $330.62 |
| 35901 | Removal of an infected bypass graft, neck | 46 | $412.57 |
| 35905 | Removal of an infected bypass graft, chest | 46 | $1,302.34 |
| 35907 | Removal of an infected bypass graft, abdomen | 46 | $1,490.11 |
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.