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Imaging Guidance For Iliac Branch Stent Graft Repair

South Dakota rates for HCPCS 0255T

The imaging half of an inside-the-artery repair of the pelvic artery at the point where it divides. The doctor supervising the X-ray equipment plans the views, injects contrast dye through the catheters to outline the vessels, watches the branched stent graft on live imaging as it is steered into position and opened, and then reads and reports those images. This covers the imaging work only; the repair itself is charged separately.

Rates data updated July 2026.

How much rates vary

Facilitymedian $288 · 10th to 90th $288 to $288
facility $288

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
$288.40
Median
$288.40
Typical High
$288.40