Endovascular Repair of the Iliac Artery Fork

Ohio 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 October 2026.

How much rates vary

Facilitymedian $1,096 · 10th to 90th $933 to $1,514Professionalmedian $50 · 10th to 90th $40 to $60

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,513.56	Facility	None	$933.25	$1,096.48	$1,513.56
Molina Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $60.26	Professional	None	$39.81	$50.12	$60.26