CPT code 34715: Arterial exposure, without conduit2026 Medicare rate & RVUs in South Dakota

Report this add-on for open axillary or subclavian artery access used to deliver an endovascular prosthesis when no conduit is created.

CMS RVU26DEffective Oct 1, 2026One payment locality252 Medicare services in 2024

In South Dakota, Medicare pays $236.72 for 34715 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$236.72Hospital or facility

Check a contract rate as a % of Medicare · 34715 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 34715 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 34715 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 34715 covers

This code represents surgical exposure of one axillary or subclavian artery through an incision so an endovascular prosthesis delivery system can be introduced. It applies when the access is obtained directly from the artery without creating a conduit. Vascular surgeons commonly perform the exposure in a hybrid operating room during endovascular aortic repair when the planned device cannot be delivered through the usual access route.

Report the access work with an eligible primary endovascular procedure, not as a standalone service. The operative report should identify the exposed artery and side, describe the open access used for device delivery, and establish that no conduit was created. CMS treats this as an add-on paid within the primary procedure’s global period. For bilateral work, modifier 50 is paid at 150%.

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 South Dakota compares for 34715

Across 109 of 109 payment localities, the facility rate for 34715 runs from $234.30 in Wisconsin to $346.65 in Alaska. South Dakota pays $236.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

34715 in South Dakota vs other payment areas
  1. South Dakota · this page$236.72
  2. Los Angeles, CA · California$265.47+$28.75
  3. Washington, DC area · District of Columbia$290.08+$53.36
  4. Miami, FL · Florida$346.14+$109.42
  5. Chicago, IL · Illinois$335.05+$98.33
  6. Manhattan, NY · New York$315.02+$78.30
  7. Alaska · Alaska$346.65+$109.93

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

34715 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$245.00
ArkansasArkansas—$242.09
ArizonaArizona—$261.66
Bakersfield, CACalifornia—$256.30
Chico, CACalifornia—$252.30
El Centro, CACalifornia—$252.55
Fresno, CACalifornia—$252.30
Hanford, CACalifornia—$252.30

34715 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
34715 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 34715 in every payment locality

How the 34715 rate is calculated

Each of 34715’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 · 34715

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.85

5.85 RVUs× 1.000 GPCI

Practice expense0.74

0.74 RVUs× 1.000 GPCI

Malpractice1.48

1.48 RVUs× 1.000 GPCI

Adjusted RVUs

8.0700

Conversion factor

$33.4009

Medicare rate

$269.55

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,217

Code
34715
Physician work
5.85
Practice expense
0.74
Malpractice
1.48

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Facility calculation for 34715 in South Dakota
ComponentRVULocality factorAdjusted
Physician work5.85× 1.0005.8500
Practice expense0.74× 1.0000.7400
Malpractice1.48× 0.3360.4973
Total RVUs7.0873
Conversion factor× 33.4009

Facility rate, South Dakota$236.72

Facility: (5.85 × 1 + 0.74 × 1 + 1.48 × 0.336) × $33.4009 = $236.72

Open 34715 in the RVU calculator

Payment rules and modifiers for 34715

The CMS indicators that decide how 34715 is paid alongside other services.

CMS payment indicators · 34715

Arterial exposure, without conduit

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

34715 without 50 · national facility

$269.55

Arterial exposure, without conduit

34715-50 · Bilateral: 150%

$404.33

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).

When to use modifier 50

How 34715 has changed in South Dakota

34715 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. 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.

  2. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$236.72RVU26D
2026-07-01Not available in this setting$236.72RVU26C
2026-04-01Not available in this setting$236.72RVU26B
2026-01-01Not available in this setting$236.72RVU26A
2025-10-01Not available in this setting$252.35RVU25D
2025-07-01Not available in this setting$252.35RVU25C
2025-04-01Not available in this setting$252.35RVU25B
2025-01-01Not available in this setting$252.35RVU25A
2024-10-01Not available in this setting$259.28RVU24D
2024-07-01Not available in this setting$259.28RVU24C
2024-04-01Not available in this setting$259.28RVU24B
2024-03-09Not available in this setting$259.28RVU24AR
2024-01-01Not available in this setting$255.05RVU24A
2023-10-01Not available in this setting$264.25RVU23D
2023-07-01Not available in this setting$264.25RVU23C
2023-04-01Not available in this setting$264.25RVU23B
2023-01-01Not available in this setting$264.25RVU23A
2022-10-01Not available in this setting$269.93RVU22D
2022-07-01Not available in this setting$269.93RVU22C
2022-04-01Not available in this setting$269.93RVU22B
2022-01-01Not available in this setting$269.93RVU22A
2021-10-01Not available in this setting$272.73RVU21D
2021-07-01Not available in this setting$272.73RVU21C
2021-04-01Not available in this setting$272.73RVU21B
2021-01-01Not available in this setting$272.73RVU21A
2020-10-01Not available in this setting$282.54RVU20D
2020-07-01Not available in this setting$282.54RVU20C
2020-04-01Not available in this setting$282.54RVU20B
2020-01-01Not available in this setting$282.54RVU20A
2019-10-01Not available in this setting$291.46RVU19D
2019-07-01Not available in this setting$291.46RVU19C
2019-04-01Not available in this setting$291.46RVU19B
2019-01-01Not available in this setting$291.46RVU19A
2018-10-01Not available in this setting$291.08RVU18D
2018-07-01Not available in this setting$291.08RVU18C
2018-04-01Not available in this setting$291.08RVU18B
2018-01-01Not available in this setting$291.08RVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 34715 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

34715 billing questions

When is 34715 chosen instead of 34716?

Use 34715 when the surgeon exposes the axillary or subclavian artery for device delivery without creating a conduit. Use 34716 when a conduit is created.

Can 34715 be billed by itself?

No. It is an add-on and must be reported with an eligible primary endovascular procedure.

What should the operative note support?

Document the artery and side exposed, the open approach for prosthesis delivery, and whether a conduit was created.

How is bilateral exposure reported?

For bilateral work, report modifier 50; CMS pays the bilateral procedure at 150%.

Is this the same as percutaneous femoral access?

No. 34715 describes open axillary or subclavian exposure; 34713 describes percutaneous femoral access and closure.

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
RVUs for 34715PPRRVU2026_Oct_nonQPP.csv, line 4,217 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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