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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.

How much rates vary

Facilitymedian $832 · 10th to 90th $832 to $2,188Professionalmedian $2,188 · 10th to 90th $2,188 to $2,188
$1.0K$2.0Kfacility $832professional $2,188

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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