CPT code 34717: Iliac branch repair, with aortoiliac endograft2026 Medicare rate & RVUs in North Dakota

Reports unilateral placement of an iliac branch endoprosthesis to preserve internal iliac artery flow during an associated endovascular aortoiliac or iliac repair.

CMS RVU26DEffective Oct 1, 2026One payment locality895 Medicare services in 2024

In North Dakota, Medicare pays $352.96 for 34717 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$352.96Hospital or facility

Check a contract rate as a % of Medicare · 34717 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 34717 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 34717 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 34717 covers

This add-on describes placement of an iliac branch endoprosthesis on one side during endovascular repair involving an aortoiliac or iliac endograft. The branch device extends treatment into the internal iliac artery while maintaining a pathway to the external iliac artery. Vascular surgeons typically perform the work in an operating room or endovascular suite to treat iliac aneurysmal disease while preserving pelvic circulation. The code includes the associated catheterization, vascular access, imaging guidance, and radiological supervision and interpretation specified for the branch-device work.

Report 34717 with the qualifying primary endovascular repair, such as an aorto-uni-iliac, aorto-bi-iliac, or iliac-iliac endograft procedure. The operative report should identify the treated side, the branch endoprosthesis, its extension into the internal and external iliac arteries, and the associated primary repair. CMS classifies this as an add-on code: it is billed only with a primary procedure, and payment falls within that procedure’s global period.

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 North Dakota compares for 34717

Across 109 of 109 payment localities, the facility rate for 34717 runs from $344.47 in Wisconsin to $512.22 in Alaska. North Dakota pays $352.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

34717 in North Dakota vs other payment areas
  1. North Dakota · this page$352.96
  2. Los Angeles, CA · California$389.46+$36.50
  3. Washington, DC area · District of Columbia$426.27+$73.31
  4. Miami, FL · Florida$510.89+$157.93
  5. Chicago, IL · Illinois$494.60+$141.64
  6. Manhattan, NY · New York$463.64+$110.68
  7. Alaska · Alaska$512.22+$159.26

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

Every other payment area

34717 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$361.05
ArkansasArkansas—$356.81
ArizonaArizona—$385.25
Bakersfield, CACalifornia—$376.37
Chico, CACalifornia—$370.39
El Centro, CACalifornia—$370.76
Fresno, CACalifornia—$370.39
Hanford, CACalifornia—$370.39

34717 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
34717 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 34717 in every payment locality

How the 34717 rate is calculated

Each of 34717’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 · 34717

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.78

8.78 RVUs× 1.000 GPCI

Practice expense0.89

0.89 RVUs× 1.000 GPCI

Malpractice2.21

2.21 RVUs× 1.000 GPCI

Adjusted RVUs

11.8800

Conversion factor

$33.4009

Medicare rate

$396.80

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

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,219

Code
34717
Physician work
8.78
Practice expense
0.89
Malpractice
2.21

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Facility calculation for 34717 in North Dakota
ComponentRVULocality factorAdjusted
Physician work8.78× 1.0008.7800
Practice expense0.89× 1.0000.8900
Malpractice2.21× 0.4060.8973
Total RVUs10.5673
Conversion factor× 33.4009

Facility rate, North Dakota$352.96

Facility: (8.78 × 1 + 0.89 × 1 + 2.21 × 0.406) × $33.4009 = $352.96

Open 34717 in the RVU calculator

Payment rules and modifiers for 34717

The CMS indicators that decide how 34717 is paid alongside other services.

CMS payment indicators · 34717

Iliac branch repair, with aortoiliac endograft

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
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 80 · payment effect

With and without the modifier

34717 without 80 · national facility

$396.80

Iliac branch repair, with aortoiliac endograft

34717-80 · Assistant: 16%

$63.49

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

How 34717 has changed in North Dakota

34717 · 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, 2020

    RVU20A

    No ratechanged toNo rate

    Held through 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, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$352.96RVU26D
2026-07-01Not available in this setting$352.96RVU26C
2026-04-01Not available in this setting$352.96RVU26B
2026-01-01Not available in this setting$352.96RVU26A
2025-10-01Not available in this setting$383.52RVU25D
2025-07-01Not available in this setting$383.52RVU25C
2025-04-01Not available in this setting$383.52RVU25B
2025-01-01Not available in this setting$383.52RVU25A
2024-10-01Not available in this setting$394.37RVU24D
2024-07-01Not available in this setting$394.37RVU24C
2024-04-01Not available in this setting$394.37RVU24B
2024-03-09Not available in this setting$394.37RVU24AR
2024-01-01Not available in this setting$387.93RVU24A
2023-10-01Not available in this setting$399.04RVU23D
2023-07-01Not available in this setting$399.04RVU23C
2023-04-01Not available in this setting$399.04RVU23B
2023-01-01Not available in this setting$399.04RVU23A
2022-10-01Not available in this setting$407.84RVU22D
2022-07-01Not available in this setting$407.84RVU22C
2022-04-01Not available in this setting$407.84RVU22B
2022-01-01Not available in this setting$407.84RVU22A
2021-10-01Not available in this setting$406.23RVU21D
2021-07-01Not available in this setting$406.23RVU21C
2021-04-01Not available in this setting$406.23RVU21B
2021-01-01Not available in this setting$406.23RVU21A
2020-10-01Not available in this setting$428.34RVU20D
2020-07-01Not available in this setting$428.34RVU20C
2020-04-01Not available in this setting$428.34RVU20B
2020-01-01Not available in this setting$428.34RVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
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 34717 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

34717 billing questions

When should 34717 be chosen instead of 34718?

Use 34717 for unilateral iliac branch endoprosthesis placement associated with a primary aortoiliac or iliac endograft repair. Code 34718 is for the branch-device repair when it is not associated with placement of an aortoiliac endograft.

Can 34717 be billed by itself?

No. It is an add-on code and must be reported with the qualifying primary endovascular repair.

Are access, catheterization, and imaging reported separately?

The work associated with the iliac branch device—including its specified access, catheterization, imaging guidance, and radiological supervision and interpretation—is included in 34717.

What should the operative report document?

Document the side treated, the branch endoprosthesis placement and its internal and external iliac extensions, and the associated primary endograft repair.

How does the global-period payment work?

CMS treats 34717 as an add-on paid within the primary procedure’s global period; it is not billed as a standalone service.

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 34717PPRRVU2026_Oct_nonQPP.csv, line 4,219 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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