No office rate
34717 reports the initial iliac vessel treated with a branch endoprosthesis. Use 34718 for each additional vessel treated during the repair.
On this page
CMS RVU26D · Effective 2026-10-01
34718 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1061.43
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.
Endovascular surgery
About 34718: Additional Iliac Branch Endoprosthesis Vessel
Reports treatment of an additional iliac vessel with an iliac branch endoprosthesis during endovascular repair, beyond the initial vessel.
This code covers deployment of an iliac branch endoprosthesis to treat an additional iliac vessel during endovascular aneurysm repair. The branched device is used to exclude an iliac aneurysm while maintaining blood flow into the internal iliac artery when that branch is treated. Vascular surgeons and other physicians performing endovascular repair typically provide the service in a hospital or other facility setting. The additional-vessel service may be performed on the opposite side from the initial repair when bilateral anatomy requires branch devices on both sides.
Report this code with 34717 for each additional vessel treated; 34717 represents the initial vessel. The operative report should identify the vessels treated and document deployment of the additional iliac branch endoprosthesis. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For procedures in the same session, CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 34718
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU23.40 · 70%
- Practice expense (office) RVU4.02 · 12%
- Malpractice RVU5.89 · 18%
413
Medicare services in 2024 · #3713 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.
34718 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
34707 describes iliac endograft repair without the branch-endoprosthesis service represented by 34718. Select based on the device and repair performed.
No office rate
34709 addresses placement of a prosthetic extension during endovascular repair; 34718 represents treatment of an additional vessel with an iliac branch endoprosthesis.
No office rate
34705 describes aorto-bi-iliac endograft repair. 34718 is for an additional iliac vessel treated with a branch endoprosthesis.
The same code, a different location
How does Wyoming** compare?
34718 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 34718
Office
Unavailable
Facility
$1010.42
No comparable office rate is available.
Arkansas
Arkansas · 34718
Office
Unavailable
Facility
$998.24
No comparable office rate is available.
Arizona
Arizona · 34718
Office
Unavailable
Facility
$1080.09
No comparable office rate is available.
Bakersfield
California · 34718
Office
Unavailable
Facility
$1063.40
No comparable office rate is available.
Chico
California · 34718
Office
Unavailable
Facility
$1047.48
No comparable office rate is available.
El Centro
California · 34718
Office
Unavailable
Facility
$1048.46
No comparable office rate is available.
Fresno
California · 34718
Office
Unavailable
Facility
$1047.48
No comparable office rate is available.
Hanford-Corcoran
California · 34718
Office
Unavailable
Facility
$1047.48
No comparable office rate is available.
Madera
California · 34718
Office
Unavailable
Facility
$1047.48
No comparable office rate is available.
Merced
California · 34718
Office
Unavailable
Facility
$1047.48
No comparable office rate is available.
Modesto
California · 34718
Office
Unavailable
Facility
$1047.48
No comparable office rate is available.
Napa
California · 34718
Office
Unavailable
Facility
$1107.73
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 34718
Office
Unavailable
Facility
$1084.74
No comparable office rate is available.
Redding
California · 34718
Office
Unavailable
Facility
$1047.48
No comparable office rate is available.
Rest Of California
California · 34718
Office
Unavailable
Facility
$1047.48
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 34718
Office
Unavailable
Facility
$1110.62
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 34718
Office
Unavailable
Facility
$1071.32
No comparable office rate is available.
Salinas
California · 34718
Office
Unavailable
Facility
$1066.88
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 34718
Office
Unavailable
Facility
$1072.25
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 34718
Office
Unavailable
Facility
$1135.45
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 34718
Office
Unavailable
Facility
$1128.77
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 34718
Office
Unavailable
Facility
$1166.62
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 34718
Office
Unavailable
Facility
$1139.28
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 34718
Office
Unavailable
Facility
$1053.25
No comparable office rate is available.
Santa Cruz-Watsonville
California · 34718
Office
Unavailable
Facility
$1066.58
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 34718
Office
Unavailable
Facility
$1065.47
No comparable office rate is available.
Santa Rosa-Petaluma
California · 34718
Office
Unavailable
Facility
$1075.36
No comparable office rate is available.
Stockton
California · 34718
Office
Unavailable
Facility
$1047.48
No comparable office rate is available.
Vallejo
California · 34718
Office
Unavailable
Facility
$1098.09
No comparable office rate is available.
Visalia
California · 34718
Office
Unavailable
Facility
$1047.48
No comparable office rate is available.
Yuba City
California · 34718
Office
Unavailable
Facility
$1047.48
No comparable office rate is available.
Colorado
Colorado · 34718
Office
Unavailable
Facility
$1087.47
No comparable office rate is available.
Connecticut
Connecticut · 34718
Office
Unavailable
Facility
$1179.87
No comparable office rate is available.
Delaware
Delaware · 34718
Office
Unavailable
Facility
$1095.01
No comparable office rate is available.
Fort Lauderdale
Florida · 34718
Office
Unavailable
Facility
$1273.29
No comparable office rate is available.
Rest Of Florida
Florida · 34718
Office
Unavailable
Facility
$1205.63
No comparable office rate is available.
Atlanta
Georgia · 34718
Office
Unavailable
Facility
$1156.62
No comparable office rate is available.
Rest Of Georgia
Georgia · 34718
Office
Unavailable
Facility
$1135.86
No comparable office rate is available.
Hawaii, Guam
Hawaii · 34718
Office
Unavailable
Facility
$1048.16
No comparable office rate is available.
Iowa
Iowa · 34718
Office
Unavailable
Facility
$982.54
No comparable office rate is available.
Idaho
Idaho · 34718
Office
Unavailable
Facility
$998.16
No comparable office rate is available.
East St. Louis
Illinois · 34718
Office
Unavailable
Facility
$1301.33
No comparable office rate is available.
Rest Of Illinois
Illinois · 34718
Office
Unavailable
Facility
$1211.66
No comparable office rate is available.
Suburban Chicago
Illinois · 34718
Office
Unavailable
Facility
$1273.56
No comparable office rate is available.
Indiana
Indiana · 34718
Office
Unavailable
Facility
$1001.66
No comparable office rate is available.
Kansas
Kansas · 34718
Office
Unavailable
Facility
$1002.12
No comparable office rate is available.
Kentucky
Kentucky · 34718
Office
Unavailable
Facility
$1080.96
No comparable office rate is available.
New Orleans
Louisiana · 34718
Office
Unavailable
Facility
$1131.42
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 34718
Office
Unavailable
Facility
$1088.88
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 34718
Office
Unavailable
Facility
$1149.04
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 34718
Office
Unavailable
Facility
$1092.27
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 34718
Office
Unavailable
Facility
$1181.52
No comparable office rate is available.
Rest Of Maryland
Maryland · 34718
Office
Unavailable
Facility
$1105.88
No comparable office rate is available.
Rest Of Maine
Maine · 34718
Office
Unavailable
Facility
$1027.48
No comparable office rate is available.
Southern Maine
Maine · 34718
Office
Unavailable
Facility
$1038.78
No comparable office rate is available.
Detroit
Michigan · 34718
Office
Unavailable
Facility
$1242.84
No comparable office rate is available.
Rest Of Michigan
Michigan · 34718
Office
Unavailable
Facility
$1126.28
No comparable office rate is available.
Minnesota
Minnesota · 34718
Office
Unavailable
Facility
$977.98
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 34718
Office
Unavailable
Facility
$1099.87
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 34718
Office
Unavailable
Facility
$1106.53
No comparable office rate is available.
Rest Of Missouri
Missouri · 34718
Office
Unavailable
Facility
$1088.94
No comparable office rate is available.
Mississippi
Mississippi · 34718
Office
Unavailable
Facility
$1042.57
No comparable office rate is available.
Montana**
Montana · 34718
Office
Unavailable
Facility
$1112.19
No comparable office rate is available.
North Carolina
North Carolina · 34718
Office
Unavailable
Facility
$1032.57
No comparable office rate is available.
North Dakota**
North Dakota · 34718
Office
Unavailable
Facility
$995.73
No comparable office rate is available.
Nebraska
Nebraska · 34718
Office
Unavailable
Facility
$979.88
No comparable office rate is available.
New Hampshire
New Hampshire · 34718
Office
Unavailable
Facility
$1093.50
No comparable office rate is available.
Northern Nj
New Jersey · 34718
Office
Unavailable
Facility
$1196.68
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 34718
Office
Unavailable
Facility
$1175.28
No comparable office rate is available.
New Mexico
New Mexico · 34718
Office
Unavailable
Facility
$1140.98
No comparable office rate is available.
Nevada**
Nevada · 34718
Office
Unavailable
Facility
$1079.86
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 34718
Office
Unavailable
Facility
$1356.58
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 34718
Office
Unavailable
Facility
$1201.82
No comparable office rate is available.
Queens
New York · 34718
Office
Unavailable
Facility
$1274.00
No comparable office rate is available.
Rest Of New York
New York · 34718
Office
Unavailable
Facility
$1047.44
No comparable office rate is available.
Ohio
Ohio · 34718
Office
Unavailable
Facility
$1102.48
No comparable office rate is available.
Oklahoma
Oklahoma · 34718
Office
Unavailable
Facility
$1054.35
No comparable office rate is available.
Portland
Oregon · 34718
Office
Unavailable
Facility
$1089.63
No comparable office rate is available.
Rest Of Oregon
Oregon · 34718
Office
Unavailable
Facility
$1053.62
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 34718
Office
Unavailable
Facility
$1170.13
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 34718
Office
Unavailable
Facility
$1090.75
No comparable office rate is available.
Puerto Rico
Puerto Rico · 34718
Office
Unavailable
Facility
$1111.11
No comparable office rate is available.
Rhode Island
Rhode Island · 34718
Office
Unavailable
Facility
$1110.62
No comparable office rate is available.
South Carolina
South Carolina · 34718
Office
Unavailable
Facility
$1072.87
No comparable office rate is available.
South Dakota**
South Dakota · 34718
Office
Unavailable
Facility
$981.95
No comparable office rate is available.
Tennessee
Tennessee · 34718
Office
Unavailable
Facility
$1009.28
No comparable office rate is available.
Austin
Texas · 34718
Office
Unavailable
Facility
$1099.51
No comparable office rate is available.
Beaumont
Texas · 34718
Office
Unavailable
Facility
$1086.53
No comparable office rate is available.
Brazoria
Texas · 34718
Office
Unavailable
Facility
$1074.35
No comparable office rate is available.
Dallas
Texas · 34718
Office
Unavailable
Facility
$1091.15
No comparable office rate is available.
Fort Worth
Texas · 34718
Office
Unavailable
Facility
$1092.36
No comparable office rate is available.
Galveston
Texas · 34718
Office
Unavailable
Facility
$1084.06
No comparable office rate is available.
Houston
Texas · 34718
Office
Unavailable
Facility
$1191.87
No comparable office rate is available.
Rest Of Texas
Texas · 34718
Office
Unavailable
Facility
$1086.65
No comparable office rate is available.
Utah
Utah · 34718
Office
Unavailable
Facility
$1084.46
No comparable office rate is available.
Virginia
Virginia · 34718
Office
Unavailable
Facility
$1052.46
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 34718
Office
Unavailable
Facility
$1111.11
No comparable office rate is available.
Vermont
Vermont · 34718
Office
Unavailable
Facility
$1014.06
No comparable office rate is available.
Rest Of Washington
Washington · 34718
Office
Unavailable
Facility
$1082.84
No comparable office rate is available.
Seattle (King Cnty)
Washington · 34718
Office
Unavailable
Facility
$1146.14
No comparable office rate is available.
Wisconsin
Wisconsin · 34718
Office
Unavailable
Facility
$970.81
No comparable office rate is available.
West Virginia
West Virginia · 34718
Office
Unavailable
Facility
$1179.79
No comparable office rate is available.
See how rates vary across the country
34718 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 34718 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1167.57
$1061.43 × 110% = $1167.57
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 34718 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
4,220
- Code
- 34718
- Physician work
- 23.40
- Practice expense
- 4.02
- Malpractice
- 5.89
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.40 | × 1.000 | 23.4000 |
| Practice expense | 4.02 | × 1.000 | 4.0200 |
| Malpractice | 5.89 | × 0.740 | 4.3586 |
| Total RVUs | 31.7786 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1061.43
Open 34718 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 23.4 | 1 |
| Practice expense | 4.02 | 1 |
| Malpractice | 5.89 | 0.74 |
(23.4 × 1 + 4.02 × 1 + 5.89 × 0.74) × $33.4009 = $1061.43
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
34718 · 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 | $1061.43 | RVU26D |
| 2026-07-01 | Not available in this setting | $1061.43 | RVU26C |
| 2026-04-01 | Not available in this setting | $1061.43 | RVU26B |
| 2026-01-01 | Not available in this setting | $1061.43 | RVU26A |
| 2025-10-01 | Not available in this setting | $1120.99 | RVU25D |
| 2025-07-01 | Not available in this setting | $1120.99 | RVU25C |
| 2025-04-01 | Not available in this setting | $1120.99 | RVU25B |
| 2025-01-01 | Not available in this setting | $1120.99 | RVU25A |
34718 billing questions
When should 34718 be reported instead of 34717?
Use 34717 for the initial iliac vessel treated with an iliac branch endoprosthesis. Report 34718 for each additional vessel treated in the same repair.
Can 34718 be reported without 34717?
No. It represents an additional-vessel service and is reported with 34717 for the initial vessel.
What documentation supports 34718?
Document the additional iliac vessel treated and deployment of the iliac branch endoprosthesis. The operative report should distinguish the additional vessel from the initial vessel reported with 34717.
Should modifier 50 be appended for treatment on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report the initial and additional vessel services as applicable rather than using modifier 50.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. CMS also permits assistant-at-surgery payment and co-surgeons for this service.
How are other procedures in the same session paid?
CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full, and other procedures in the session are paid at 50%.
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.
4,21734715,,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
4,2223472F,,Ra disease activity high,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
4,2233475F,,Disease progn ra poor docd,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,