CPT code 34716: Arterial access, chest incision with conduit2026 Medicare rate & RVUs in Montana
Reports open axillary or subclavian artery exposure through a chest incision with conduit creation to deliver an endovascular prosthesis.
In Montana, Medicare pays $338.24 for 34716 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 34716 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 34716 covers
A vascular surgeon exposes the axillary or subclavian artery through a chest incision and creates a conduit to provide access for an endovascular delivery system. This approach is used when the device cannot be delivered through the usual femoral or iliac route, often during endovascular aortic repair in a hybrid operating room. The conduit and open exposure distinguish this service from access obtained through a neck incision or percutaneous femoral access.
Report 34716 as an add-on with the primary endovascular procedure; it is paid within that procedure’s global period. The operative report should identify the chest incision, artery exposed, conduit created, and its use for prosthesis delivery, along with the primary repair performed. For a bilateral procedure, 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 Montana compares for 34716
Across 109 of 109 payment localities, the facility rate for 34716 runs from $296.41 in Wisconsin to $432.49 in Alaska. Montana pays $338.24. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$338.24
- Los Angeles, CA · California$337.03−$1.21
- Washington, DC area · District of Columbia$365.79+$27.55
- Miami, FL · Florida$428.61+$90.37
- Chicago, IL · Illinois$415.05+$76.81
- Manhattan, NY · New York$394.72+$56.48
- Alaska · Alaska$432.49+$94.25
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $307.47 |
| ArkansasArkansas | — | $303.78 |
| ArizonaArizona | — | $328.59 |
| Bakersfield, CACalifornia | — | $324.66 |
| Chico, CACalifornia | — | $319.98 |
| El Centro, CACalifornia | — | $320.27 |
| Fresno, CACalifornia | — | $319.98 |
| Hanford, CACalifornia | — | $319.98 |
| Madera, CACalifornia | — | $319.98 |
| Merced, CACalifornia | — | $319.98 |
| Modesto, CACalifornia | — | $319.98 |
| Napa, CACalifornia | — | $339.44 |
| Oxnard, CACalifornia | — | $331.57 |
| Redding, CACalifornia | — | $319.98 |
| Rest of CaliforniaCalifornia | — | $319.98 |
| Riverside, CACalifornia | — | $338.53 |
| Sacramento, CACalifornia | — | $327.54 |
| Salinas, CACalifornia | — | $326.18 |
| San Diego, CACalifornia | — | $328.01 |
| Marin County, CACalifornia | — | $348.37 |
| San Francisco, CACalifornia | — | $346.40 |
| San Benito County, CACalifornia | — | $357.82 |
| Santa Clara County, CACalifornia | — | $349.78 |
| San Luis Obispo, CACalifornia | — | $321.97 |
| Santa Cruz, CACalifornia | — | $326.44 |
| Santa Maria, CACalifornia | — | $325.80 |
| Santa Rosa, CACalifornia | — | $329.15 |
| Stockton, CACalifornia | — | $319.98 |
| Vallejo, CACalifornia | — | $336.60 |
| Visalia, CACalifornia | — | $319.98 |
| Yuba City, CACalifornia | — | $319.98 |
| ColoradoColorado | — | $331.48 |
| ConnecticutConnecticut | — | $358.74 |
| DelawareDelaware | — | $333.13 |
| Fort Lauderdale, FLFlorida | — | $385.64 |
| Rest of FloridaFlorida | — | $365.37 |
| Atlanta, GAGeorgia | — | $351.41 |
| Rest of GeorgiaGeorgia | — | $344.43 |
| Hawaii, Guam, HIHawaii | — | $320.38 |
| IowaIowa | — | $299.56 |
| IdahoIdaho | — | $304.19 |
| East St. Louis, ILIllinois | — | $393.23 |
| Rest of IllinoisIllinois | — | $366.84 |
| Suburban Chicago, ILIllinois | — | $385.85 |
| IndianaIndiana | — | $305.26 |
| KansasKansas | — | $305.23 |
| KentuckyKentucky | — | $328.29 |
| New Orleans, LALouisiana | — | $343.47 |
| Rest of LouisianaLouisiana | — | $330.59 |
| Metropolitan Boston, MAMassachusetts | — | $350.60 |
| Rest of MassachusettsMassachusetts | — | $332.83 |
| Baltimore area, MDMaryland | — | $359.18 |
| Rest of MarylandMaryland | — | $336.51 |
| Rest of MaineMaine | — | $312.79 |
| Southern Maine, MEMaine | — | $316.61 |
| Detroit, MIMichigan | — | $376.37 |
| Rest of MichiganMichigan | — | $341.77 |
| MinnesotaMinnesota | — | $299.02 |
| Metropolitan Kansas City, MOMissouri | — | $334.19 |
| Metropolitan St. Louis, MOMissouri | — | $336.24 |
| Rest of MissouriMissouri | — | $330.44 |
| MississippiMississippi | — | $316.82 |
| North CarolinaNorth Carolina | — | $314.38 |
| North DakotaNorth Dakota | — | $304.03 |
| NebraskaNebraska | — | $298.83 |
| New HampshireNew Hampshire | — | $333.03 |
| Northern New JerseyNew Jersey | — | $364.46 |
| Rest of New JerseyNew Jersey | — | $357.59 |
| New MexicoNew Mexico | — | $346.11 |
| NevadaNevada | — | $328.75 |
| NYC suburbs and Long Island, NYNew York | — | $411.63 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $365.43 |
| Queens, NYNew York | — | $387.33 |
| Rest of New YorkNew York | — | $318.87 |
| OhioOhio | — | $334.77 |
| OklahomaOklahoma | — | $320.50 |
| Portland, OROregon | — | $332.46 |
| Rest of OregonOregon | — | $321.00 |
| Metropolitan Philadelphia, PAPennsylvania | — | $355.62 |
| Rest of PennsylvaniaPennsylvania | — | $331.37 |
| Puerto RicoPuerto Rico | — | $338.00 |
| Rhode IslandRhode Island | — | $338.09 |
| South CarolinaSouth Carolina | — | $326.16 |
| South DakotaSouth Dakota | — | $299.98 |
| TennesseeTennessee | — | $307.37 |
| Austin, TXTexas | — | $334.92 |
| Beaumont, TXTexas | — | $330.07 |
| Brazoria, TXTexas | — | $327.09 |
| Dallas, TXTexas | — | $332.07 |
| Fort Worth, TXTexas | — | $332.35 |
| Galveston, TXTexas | — | $329.96 |
| Houston, TXTexas | — | $361.63 |
| Rest of TexasTexas | — | $330.38 |
| UtahUtah | — | $329.67 |
| VirginiaVirginia | — | $320.57 |
| Virgin Islands, VIUnited States Virgin Islands | — | $338.00 |
| VermontVermont | — | $309.34 |
| Rest of WashingtonWashington | — | $330.05 |
| King County, WAWashington | — | $350.02 |
| WisconsinWisconsin | — | $296.41 |
| West VirginiaWest Virginia | — | $357.17 |
| WyomingWyoming | — | $323.33 |
34716 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 34716 rate is calculated
Each of 34716’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 · 34716
RVUs × geographic indexes × conversion factor
Work7.01
7.01 RVUs× 1.000 GPCI
Practice expense1.39
1.39 RVUs× 1.000 GPCI
Malpractice1.73
1.73 RVUs× 1.000 GPCI
Adjusted RVUs
10.1300
Conversion factor
$33.4009
Medicare rate
$338.35
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,218
- Code
- 34716
- Physician work
- 7.01
- Practice expense
- 1.39
- Malpractice
- 1.73
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.01 | × 1.000 | 7.0100 |
| Practice expense | 1.39 | × 1.000 | 1.3900 |
| Malpractice | 1.73 | × 0.998 | 1.7265 |
| Total RVUs | 10.1265 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$338.24
Facility: (7.01 × 1 + 1.39 × 1 + 1.73 × 0.998) × $33.4009 = $338.24
Payment rules and modifiers for 34716
The CMS indicators that decide how 34716 is paid alongside other services.
CMS payment indicators · 34716
Arterial access, chest incision with conduit
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
34716 without 50 · national facility
$338.35
Arterial access, chest incision with conduit
34716-50 · Bilateral: 150%
$507.53
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 34716 has changed in Montana
34716 · 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 | $338.24 | RVU26D |
| 2026-07-01 | Not available in this setting | $338.24 | RVU26C |
| 2026-04-01 | Not available in this setting | $338.24 | RVU26B |
| 2026-01-01 | Not available in this setting | $338.24 | RVU26A |
| 2025-10-01 | Not available in this setting | $352.00 | RVU25D |
| 2025-07-01 | Not available in this setting | $352.00 | RVU25C |
| 2025-04-01 | Not available in this setting | $352.00 | RVU25B |
| 2025-01-01 | Not available in this setting | $352.00 | RVU25A |
| 2024-10-01 | Not available in this setting | $360.58 | RVU24D |
| 2024-07-01 | Not available in this setting | $360.58 | RVU24C |
| 2024-04-01 | Not available in this setting | $360.58 | RVU24B |
| 2024-03-09 | Not available in this setting | $360.58 | RVU24AR |
| 2024-01-01 | Not available in this setting | $354.69 | RVU24A |
| 2023-10-01 | Not available in this setting | $366.43 | RVU23D |
| 2023-07-01 | Not available in this setting | $366.43 | RVU23C |
| 2023-04-01 | Not available in this setting | $366.43 | RVU23B |
| 2023-01-01 | Not available in this setting | $366.43 | RVU23A |
| 2022-10-01 | Not available in this setting | $374.49 | RVU22D |
| 2022-07-01 | Not available in this setting | $374.49 | RVU22C |
| 2022-04-01 | Not available in this setting | $374.49 | RVU22B |
| 2022-01-01 | Not available in this setting | $374.49 | RVU22A |
| 2021-10-01 | Not available in this setting | $376.24 | RVU21D |
| 2021-07-01 | Not available in this setting | $376.24 | RVU21C |
| 2021-04-01 | Not available in this setting | $376.24 | RVU21B |
| 2021-01-01 | Not available in this setting | $376.24 | RVU21A |
| 2020-10-01 | Not available in this setting | $407.65 | RVU20D |
| 2020-07-01 | Not available in this setting | $407.65 | RVU20C |
| 2020-04-01 | Not available in this setting | $407.65 | RVU20B |
| 2020-01-01 | Not available in this setting | $407.65 | RVU20A |
| 2019-10-01 | Not available in this setting | $434.62 | RVU19D |
| 2019-07-01 | Not available in this setting | $434.62 | RVU19C |
| 2019-04-01 | Not available in this setting | $424.04 | RVU19B |
| 2019-01-01 | Not available in this setting | $424.04 | RVU19A |
| 2018-10-01 | Not available in this setting | $423.84 | RVU18D |
| 2018-07-01 | Not available in this setting | $423.84 | RVU18C |
| 2018-04-01 | Not available in this setting | $423.84 | RVU18B |
| 2018-01-01 | Not available in this setting | $423.84 | 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 Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
34716 billing questions
How does 34716 differ from 34715?
34716 describes axillary or subclavian exposure through a chest incision with conduit creation. 34715 describes open exposure through a neck incision without the conduit feature.
Can 34716 be reported by itself?
No. It is an add-on code and must be reported with a primary procedure; payment is included within that procedure’s global period.
What operative details support reporting 34716?
Document the chest incision, the axillary or subclavian artery exposed, conduit creation, and use of the conduit to deliver the endovascular prosthesis.
How is bilateral 34716 reported?
When the procedure is bilateral, report modifier 50. CMS pays the bilateral procedure at 150%.
Can 34716 be used for percutaneous femoral access?
No. It describes open axillary or subclavian access through a chest incision with conduit creation, not percutaneous femoral access.
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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