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Endovascular Repair of the Iliac Artery Fork

Arizona rates for HCPCS 0254T

A fabric-covered stent graft that splits into two limbs is delivered along the arteries and seated where the iliac artery in the pelvis divides into its two branches. It lines the diseased segment from the inside — for example a widened or weakened stretch of vessel — while keeping blood flowing into both branches. The catheter work and the imaging supervision and interpretation are included, and it covers one side.

Rates data updated July 2026.

Facilitymedian $832 · 10th–90th $832$2,1880%50%90th$832Professionalmedian $2,188 · 10th–90th $2,188$2,1880%50%100%$2,188$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Medica
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$2,187.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76