No office rate
Choose 34716 for chest-incision axillary or subclavian exposure with conduit creation; 34715 describes exposure through a neck incision without that conduit feature.
On this page
CMS RVU26D · Effective 2026-10-01
34716 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$320.27
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Vascular surgery
About 34716: Open axillary-subclavian access with conduit
Reports open axillary or subclavian artery exposure through a chest incision with conduit creation to deliver an endovascular prosthesis.
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%.
CMS billing rules for 34716
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
Where the value comes from
- Work RVU7.01 · 69%
- Practice expense (office) RVU1.39 · 14%
- Malpractice RVU1.73 · 17%
2.5K
Medicare services in 2024 · #2292 by national volume
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.
34716 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
34714 covers open femoral artery access with conduit, while 34716 covers axillary or subclavian access through a chest incision.
No office rate
34713 describes percutaneous femoral access and closure; 34716 requires open upper-chest exposure and conduit creation.
The same code, a different location
How does El Centro compare?
34716 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 34716
Office
Unavailable
Facility
$319.98
No comparable office rate is available.
Modesto
California · 34716
Office
Unavailable
Facility
$319.98
No comparable office rate is available.
Napa
California · 34716
Office
Unavailable
Facility
$339.44
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 34716
Office
Unavailable
Facility
$331.57
No comparable office rate is available.
Redding
California · 34716
Office
Unavailable
Facility
$319.98
No comparable office rate is available.
Rest Of California
California · 34716
Office
Unavailable
Facility
$319.98
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 34716
Office
Unavailable
Facility
$338.53
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 34716
Office
Unavailable
Facility
$327.54
No comparable office rate is available.
Salinas
California · 34716
Office
Unavailable
Facility
$326.18
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 34716
Office
Unavailable
Facility
$328.01
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 34716
Office
Unavailable
Facility
$348.37
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 34716
Office
Unavailable
Facility
$346.40
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 34716
Office
Unavailable
Facility
$357.82
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 34716
Office
Unavailable
Facility
$349.78
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 34716
Office
Unavailable
Facility
$321.97
No comparable office rate is available.
Santa Cruz-Watsonville
California · 34716
Office
Unavailable
Facility
$326.44
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 34716
Office
Unavailable
Facility
$325.80
No comparable office rate is available.
Santa Rosa-Petaluma
California · 34716
Office
Unavailable
Facility
$329.15
No comparable office rate is available.
Stockton
California · 34716
Office
Unavailable
Facility
$319.98
No comparable office rate is available.
Vallejo
California · 34716
Office
Unavailable
Facility
$336.60
No comparable office rate is available.
Visalia
California · 34716
Office
Unavailable
Facility
$319.98
No comparable office rate is available.
Yuba City
California · 34716
Office
Unavailable
Facility
$319.98
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 34716
Office
Unavailable
Facility
$365.79
No comparable office rate is available.
Miami
Florida · 34716
Office
Unavailable
Facility
$428.61
No comparable office rate is available.
Chicago
Illinois · 34716
Office
Unavailable
Facility
$415.05
No comparable office rate is available.
Manhattan
New York · 34716
Office
Unavailable
Facility
$394.72
No comparable office rate is available.
Alaska*
Alaska · 34716
Office
Unavailable
Facility
$432.49
No comparable office rate is available.
Alabama
Alabama · 34716
Office
Unavailable
Facility
$307.47
No comparable office rate is available.
Arkansas
Arkansas · 34716
Office
Unavailable
Facility
$303.78
No comparable office rate is available.
Arizona
Arizona · 34716
Office
Unavailable
Facility
$328.59
No comparable office rate is available.
Colorado
Colorado · 34716
Office
Unavailable
Facility
$331.48
No comparable office rate is available.
Connecticut
Connecticut · 34716
Office
Unavailable
Facility
$358.74
No comparable office rate is available.
Delaware
Delaware · 34716
Office
Unavailable
Facility
$333.13
No comparable office rate is available.
Fort Lauderdale
Florida · 34716
Office
Unavailable
Facility
$385.64
No comparable office rate is available.
Rest Of Florida
Florida · 34716
Office
Unavailable
Facility
$365.37
No comparable office rate is available.
Atlanta
Georgia · 34716
Office
Unavailable
Facility
$351.41
No comparable office rate is available.
Rest Of Georgia
Georgia · 34716
Office
Unavailable
Facility
$344.43
No comparable office rate is available.
Hawaii, Guam
Hawaii · 34716
Office
Unavailable
Facility
$320.38
No comparable office rate is available.
Iowa
Iowa · 34716
Office
Unavailable
Facility
$299.56
No comparable office rate is available.
Idaho
Idaho · 34716
Office
Unavailable
Facility
$304.19
No comparable office rate is available.
East St. Louis
Illinois · 34716
Office
Unavailable
Facility
$393.23
No comparable office rate is available.
Rest Of Illinois
Illinois · 34716
Office
Unavailable
Facility
$366.84
No comparable office rate is available.
Suburban Chicago
Illinois · 34716
Office
Unavailable
Facility
$385.85
No comparable office rate is available.
Indiana
Indiana · 34716
Office
Unavailable
Facility
$305.26
No comparable office rate is available.
Kansas
Kansas · 34716
Office
Unavailable
Facility
$305.23
No comparable office rate is available.
Kentucky
Kentucky · 34716
Office
Unavailable
Facility
$328.29
No comparable office rate is available.
New Orleans
Louisiana · 34716
Office
Unavailable
Facility
$343.47
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 34716
Office
Unavailable
Facility
$330.59
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 34716
Office
Unavailable
Facility
$350.60
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 34716
Office
Unavailable
Facility
$332.83
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 34716
Office
Unavailable
Facility
$359.18
No comparable office rate is available.
Rest Of Maryland
Maryland · 34716
Office
Unavailable
Facility
$336.51
No comparable office rate is available.
Rest Of Maine
Maine · 34716
Office
Unavailable
Facility
$312.79
No comparable office rate is available.
Southern Maine
Maine · 34716
Office
Unavailable
Facility
$316.61
No comparable office rate is available.
Detroit
Michigan · 34716
Office
Unavailable
Facility
$376.37
No comparable office rate is available.
Rest Of Michigan
Michigan · 34716
Office
Unavailable
Facility
$341.77
No comparable office rate is available.
Minnesota
Minnesota · 34716
Office
Unavailable
Facility
$299.02
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 34716
Office
Unavailable
Facility
$334.19
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 34716
Office
Unavailable
Facility
$336.24
No comparable office rate is available.
Rest Of Missouri
Missouri · 34716
Office
Unavailable
Facility
$330.44
No comparable office rate is available.
Mississippi
Mississippi · 34716
Office
Unavailable
Facility
$316.82
No comparable office rate is available.
Montana**
Montana · 34716
Office
Unavailable
Facility
$338.24
No comparable office rate is available.
North Carolina
North Carolina · 34716
Office
Unavailable
Facility
$314.38
No comparable office rate is available.
North Dakota**
North Dakota · 34716
Office
Unavailable
Facility
$304.03
No comparable office rate is available.
Nebraska
Nebraska · 34716
Office
Unavailable
Facility
$298.83
No comparable office rate is available.
New Hampshire
New Hampshire · 34716
Office
Unavailable
Facility
$333.03
No comparable office rate is available.
Northern Nj
New Jersey · 34716
Office
Unavailable
Facility
$364.46
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 34716
Office
Unavailable
Facility
$357.59
No comparable office rate is available.
New Mexico
New Mexico · 34716
Office
Unavailable
Facility
$346.11
No comparable office rate is available.
Nevada**
Nevada · 34716
Office
Unavailable
Facility
$328.75
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 34716
Office
Unavailable
Facility
$411.63
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 34716
Office
Unavailable
Facility
$365.43
No comparable office rate is available.
Queens
New York · 34716
Office
Unavailable
Facility
$387.33
No comparable office rate is available.
Rest Of New York
New York · 34716
Office
Unavailable
Facility
$318.87
No comparable office rate is available.
Ohio
Ohio · 34716
Office
Unavailable
Facility
$334.77
No comparable office rate is available.
Oklahoma
Oklahoma · 34716
Office
Unavailable
Facility
$320.50
No comparable office rate is available.
Portland
Oregon · 34716
Office
Unavailable
Facility
$332.46
No comparable office rate is available.
Rest Of Oregon
Oregon · 34716
Office
Unavailable
Facility
$321.00
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 34716
Office
Unavailable
Facility
$355.62
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 34716
Office
Unavailable
Facility
$331.37
No comparable office rate is available.
Puerto Rico
Puerto Rico · 34716
Office
Unavailable
Facility
$338.00
No comparable office rate is available.
Rhode Island
Rhode Island · 34716
Office
Unavailable
Facility
$338.09
No comparable office rate is available.
South Carolina
South Carolina · 34716
Office
Unavailable
Facility
$326.16
No comparable office rate is available.
South Dakota**
South Dakota · 34716
Office
Unavailable
Facility
$299.98
No comparable office rate is available.
Tennessee
Tennessee · 34716
Office
Unavailable
Facility
$307.37
No comparable office rate is available.
Austin
Texas · 34716
Office
Unavailable
Facility
$334.92
No comparable office rate is available.
Beaumont
Texas · 34716
Office
Unavailable
Facility
$330.07
No comparable office rate is available.
Brazoria
Texas · 34716
Office
Unavailable
Facility
$327.09
No comparable office rate is available.
Dallas
Texas · 34716
Office
Unavailable
Facility
$332.07
No comparable office rate is available.
Fort Worth
Texas · 34716
Office
Unavailable
Facility
$332.35
No comparable office rate is available.
Galveston
Texas · 34716
Office
Unavailable
Facility
$329.96
No comparable office rate is available.
Houston
Texas · 34716
Office
Unavailable
Facility
$361.63
No comparable office rate is available.
Rest Of Texas
Texas · 34716
Office
Unavailable
Facility
$330.38
No comparable office rate is available.
Utah
Utah · 34716
Office
Unavailable
Facility
$329.67
No comparable office rate is available.
Virginia
Virginia · 34716
Office
Unavailable
Facility
$320.57
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 34716
Office
Unavailable
Facility
$338.00
No comparable office rate is available.
Vermont
Vermont · 34716
Office
Unavailable
Facility
$309.34
No comparable office rate is available.
Rest Of Washington
Washington · 34716
Office
Unavailable
Facility
$330.05
No comparable office rate is available.
Seattle (King Cnty)
Washington · 34716
Office
Unavailable
Facility
$350.02
No comparable office rate is available.
Wisconsin
Wisconsin · 34716
Office
Unavailable
Facility
$296.41
No comparable office rate is available.
West Virginia
West Virginia · 34716
Office
Unavailable
Facility
$357.17
No comparable office rate is available.
Wyoming**
Wyoming · 34716
Office
Unavailable
Facility
$323.33
No comparable office rate is available.
See how rates vary across the country
34716 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 34716 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$352.30
$320.27 × 110% = $352.30
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 34716 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
4,218
- Code
- 34716
- Physician work
- 7.01
- Practice expense
- 1.39
- Malpractice
- 1.73
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.01 | × 1.017 | 7.1292 |
| Practice expense | 1.39 | × 1.096 | 1.5234 |
| Malpractice | 1.73 | × 0.541 | 0.9359 |
| Total RVUs | 9.5885 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$320.27
Open 34716 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.01 | 1.017 |
| Practice expense | 1.39 | 1.096 |
| Malpractice | 1.73 | 0.541 |
(7.01 × 1.017 + 1.39 × 1.096 + 1.73 × 0.541) × $33.4009 = $320.27
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $320.27 | RVU26D |
| 2026-07-01 | Not available in this setting | $320.27 | RVU26C |
| 2026-04-01 | Not available in this setting | $320.27 | RVU26B |
| 2026-01-01 | Not available in this setting | $320.27 | RVU26A |
| 2025-10-01 | Not available in this setting | $338.60 | RVU25D |
| 2025-07-01 | Not available in this setting | $338.60 | RVU25C |
| 2025-04-01 | Not available in this setting | $338.60 | RVU25B |
| 2025-01-01 | Not available in this setting | $338.60 | RVU25A |
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,21534713,,Perq access & clsr fem art,A,,2.44,0.26,NA,0.26,,0.60,3.30,3.30,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21634714,,Opn fem art expos cndt crtj,A,,5.12,0.94,NA,0.94,,1.28,7.34,7.34,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21734715,,Opn ax/subcla art expos,A,,5.85,0.74,NA,0.74,,1.48,8.07,8.07,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21834716,,Opn ax/subcla art expos cndt,A,,7.01,1.39,NA,1.39,,1.73,10.13,10.13,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21934717,,Evasc rpr a-iliac ndgft,A,,8.78,0.89,NA,0.89,,2.21,11.88,11.88,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,22034718,,Evasc rpr n/a a-iliac ndgft,A,,23.40,4.02,NA,4.02,,5.89,33.31,33.31,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,2213471F,,Ra disease activity mod,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664