Endovascular Repair of the Iliac Artery Fork

Tennessee 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

Professionalmedian $2,089 · 10th to 90th $2,089 to $2,188

Distribution of negotiated rates across all payers (price axis is log-scale). 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
Lucent Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,187.76	Professional	None	$2,089.30	$2,089.30	$2,187.76