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Endovascular Repair of the Iliac Artery Fork

Wisconsin 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 does Endovascular Repair of the Iliac Artery Fork cost?

$832

Typical physician fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $832 for this service. Most negotiated rates run $50.12 to $2,188.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $832 · 10th to 90th $832 to $2,188Professionalmedian $59 · 10th to 90th $50 to $2,188
$100$200$500$1K$2Kfacility $832professional $59

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
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$2,187.76
Quartz
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$2,187.76

Where Wisconsin sits

The same service costs 1862.1 times more in Kentucky than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 17th of 28

$832

KY $56,234SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.