CPT code 34708: Iliac endograft repair, with rupture2026 Medicare rate & RVUs in Visalia, CA
Endovascularly repairs a ruptured iliac artery using an iliac-to-iliac endograft, with reporting distinguished from nonruptured and aortoiliac repairs.
In Visalia, CA, Medicare pays $1,543.18 for 34708 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 34708 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 34708 covers
This code represents endovascular repair of a ruptured iliac artery using an iliac-to-iliac tube endograft. A vascular surgeon typically performs the procedure in a hospital operating room or endovascular suite, guiding the graft through arterial access to exclude the rupture from circulation. The code is for an iliac repair configuration, rather than repair using an aortic endograft. The operative report should establish the rupture, the treated iliac artery, and the endograft configuration.
Report the rupture-specific code rather than its nonruptured sibling when the repair addresses a rupture. Required imaging and radiological supervision and interpretation for the repair are included. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery and co-surgeon payment may be allowed; team-surgery payment is not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Visalia, CA compares for 34708
Across 109 of 109 payment localities, the facility rate for 34708 runs from $1,431.99 in Wisconsin to $2,121.49 in Miami, FL. Visalia, CA pays $1,543.18. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Visalia, CA · this page$1,543.18
- Bakersfield, CA · California$1,567.79+$24.61
- Chico, CA · California$1,543.18
- El Centro, CA · California$1,544.70+$1.52
- Fresno, CA · California$1,543.18
- Hanford, CA · California$1,543.18
- Los Angeles, CA · California$1,624.27+$81.09
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | — | $1,543.18 |
| Merced, CACalifornia | — | $1,543.18 |
| Modesto, CACalifornia | — | $1,543.18 |
| Napa, CACalifornia | — | $1,623.96 |
| Oxnard, CACalifornia | — | $1,596.17 |
| Redding, CACalifornia | — | $1,543.18 |
| Rest of CaliforniaCalifornia | — | $1,543.18 |
| Riverside, CACalifornia | — | $1,640.93 |
| Sacramento, CACalifornia | — | $1,576.21 |
| Salinas, CACalifornia | — | $1,569.65 |
| San Diego, CACalifornia | — | $1,576.06 |
| Marin County, CACalifornia | — | $1,661.42 |
| San Francisco, CACalifornia | — | $1,651.06 |
| San Benito County, CACalifornia | — | $1,707.70 |
| Santa Clara County, CACalifornia | — | $1,665.36 |
| San Luis Obispo, CACalifornia | — | $1,549.88 |
| Santa Cruz, CACalifornia | — | $1,566.49 |
| Santa Maria, CACalifornia | — | $1,567.17 |
| Santa Rosa, CACalifornia | — | $1,579.22 |
| Stockton, CACalifornia | — | $1,543.18 |
| Vallejo, CACalifornia | — | $1,609.03 |
| Yuba City, CACalifornia | — | $1,543.18 |
| Washington, DC areaDistrict of Columbia | — | $1,775.71 |
| Miami, FLFlorida | — | $2,121.49 |
| Chicago, ILIllinois | — | $2,052.92 |
| Manhattan, NYNew York | — | $1,929.19 |
| AlaskaAlaska | — | $2,117.07 |
| AlabamaAlabama | — | $1,497.64 |
| ArkansasArkansas | — | $1,479.60 |
| ArizonaArizona | — | $1,600.64 |
| ColoradoColorado | — | $1,606.87 |
| ConnecticutConnecticut | — | $1,749.09 |
| DelawareDelaware | — | $1,622.64 |
| Fort Lauderdale, FLFlorida | — | $1,897.49 |
| Rest of FloridaFlorida | — | $1,795.70 |
| Atlanta, GAGeorgia | — | $1,716.63 |
| Rest of GeorgiaGeorgia | — | $1,690.98 |
| Hawaii, Guam, HIHawaii | — | $1,542.46 |
| IowaIowa | — | $1,452.39 |
| IdahoIdaho | — | $1,476.33 |
| East St. Louis, ILIllinois | — | $1,945.74 |
| Rest of IllinoisIllinois | — | $1,807.26 |
| Suburban Chicago, ILIllinois | — | $1,897.03 |
| IndianaIndiana | — | $1,481.38 |
| KansasKansas | — | $1,483.27 |
| KentuckyKentucky | — | $1,606.13 |
| New Orleans, LALouisiana | — | $1,681.56 |
| Rest of LouisianaLouisiana | — | $1,618.60 |
| Metropolitan Boston, MAMassachusetts | — | $1,694.83 |
| Rest of MassachusettsMassachusetts | — | $1,614.79 |
| Baltimore area, MDMaryland | — | $1,751.94 |
| Rest of MarylandMaryland | — | $1,638.12 |
| Rest of MaineMaine | — | $1,521.71 |
| Southern Maine, MEMaine | — | $1,535.53 |
| Detroit, MIMichigan | — | $1,852.84 |
| Rest of MichiganMichigan | — | $1,675.06 |
| MinnesotaMinnesota | — | $1,439.41 |
| Metropolitan Kansas City, MOMissouri | — | $1,632.82 |
| Metropolitan St. Louis, MOMissouri | — | $1,642.46 |
| Rest of MissouriMissouri | — | $1,619.89 |
| MississippiMississippi | — | $1,548.15 |
| MontanaMontana | — | $1,648.73 |
| North CarolinaNorth Carolina | — | $1,528.92 |
| North DakotaNorth Dakota | — | $1,468.39 |
| NebraskaNebraska | — | $1,447.85 |
| New HampshireNew Hampshire | — | $1,617.65 |
| Northern New JerseyNew Jersey | — | $1,769.90 |
| Rest of New JerseyNew Jersey | — | $1,740.78 |
| New MexicoNew Mexico | — | $1,697.62 |
| NevadaNevada | — | $1,598.62 |
| NYC suburbs and Long Island, NYNew York | — | $2,015.95 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,781.62 |
| Queens, NYNew York | — | $1,888.44 |
| Rest of New YorkNew York | — | $1,551.07 |
| OhioOhio | — | $1,638.20 |
| OklahomaOklahoma | — | $1,564.72 |
| Portland, OROregon | — | $1,607.69 |
| Rest of OregonOregon | — | $1,558.24 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,735.92 |
| Rest of PennsylvaniaPennsylvania | — | $1,619.79 |
| Puerto RicoPuerto Rico | — | $1,646.48 |
| Rhode IslandRhode Island | — | $1,644.17 |
| South CarolinaSouth Carolina | — | $1,591.79 |
| South DakotaSouth Dakota | — | $1,447.07 |
| TennesseeTennessee | — | $1,494.10 |
| Austin, TXTexas | — | $1,626.03 |
| Beaumont, TXTexas | — | $1,613.67 |
| Brazoria, TXTexas | — | $1,590.43 |
| Dallas, TXTexas | — | $1,616.16 |
| Fort Worth, TXTexas | — | $1,618.56 |
| Galveston, TXTexas | — | $1,605.36 |
| Houston, TXTexas | — | $1,772.29 |
| Rest of TexasTexas | — | $1,611.83 |
| UtahUtah | — | $1,608.91 |
| VirginiaVirginia | — | $1,557.13 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,646.48 |
| VermontVermont | — | $1,497.30 |
| Rest of WashingtonWashington | — | $1,600.25 |
| King County, WAWashington | — | $1,688.44 |
| WisconsinWisconsin | — | $1,431.99 |
| West VirginiaWest Virginia | — | $1,760.19 |
| WyomingWyoming | — | $1,570.14 |
34708 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 34708 rate is calculated
Each of 34708’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 34708
RVUs × geographic indexes × conversion factor
Work35.59
35.59 RVUs× 1.000 GPCI
Practice expense4.67
4.67 RVUs× 1.000 GPCI
Malpractice9.12
9.12 RVUs× 1.000 GPCI
Adjusted RVUs
49.3800
Conversion factor
$33.4009
Medicare rate
$1,649.34
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Visalia, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,209
- Code
- 34708
- Physician work
- 35.59
- Practice expense
- 4.67
- Malpractice
- 9.12
GPCI2026.csv
34
- Locality
- Visalia, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 35.59 | × 1.017 | 36.1950 |
| Practice expense | 4.67 | × 1.096 | 5.1183 |
| Malpractice | 9.12 | × 0.536 | 4.8883 |
| Total RVUs | 46.2017 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Visalia, CA$1543.18
Facility: (35.59 × 1.017 + 4.67 × 1.096 + 9.12 × 0.536) × $33.4009 = $1543.18
Payment rules and modifiers for 34708
34708 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 34708
Iliac endograft repair, with rupture
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 34708
Iliac endograft repair, with rupture
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
34708 without 50 · national facility
$1,649.34
Iliac endograft repair, with rupture
34708-50 · Bilateral: 150%
$2,474.01
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 34708 has changed in Visalia, CA
34708 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2018
RVU18AR1
No ratechanged toNo rate
Held through RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,543.18 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,543.18 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,543.18 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,543.18 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,634.73 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,634.73 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,634.73 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,634.73 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,676.88 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,676.88 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,676.88 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,676.88 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,649.51 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,714.22 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,714.22 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,714.22 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,714.22 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,807.78 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,807.78 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,807.78 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,807.78 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,815.83 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,815.83 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,815.83 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,815.83 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,875.34 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,875.34 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,875.34 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,875.34 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,866.65 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,866.65 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,866.65 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,866.65 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,865.03 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,865.03 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,865.03 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,865.03 | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Visalia, CA rate applies
Visalia, CA is a Medicare payment area, not a city. Our Census mapping connects it to 70 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Visalia
- Allensworth
- Alpaugh
- California Hot Springs
- Camp Nelson
- Cedar Slope
- Cutler
- Delft Colony
34708 billing questions
How does 34708 differ from 34707?
Both describe iliac-to-iliac endograft repair. Use 34708 for repair with rupture and 34707 for the corresponding nonruptured repair.
Are the repair's imaging services separately reported?
Required radiological supervision and interpretation for the endovascular repair are included in 34708. The operative documentation should support the rupture and the iliac-to-iliac graft configuration.
What global period applies?
The code has a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.
Can 34708 be reported bilaterally?
CMS lists bilateral reporting with modifier 50, paid at 150%. The record should support repair on both sides.
How does CMS handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery and co-surgeon payment may be allowed, but team-surgery payment is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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