No office rate
The graft configuration is the same, but 34705 is for a nonruptured lesion. Rupture documented in the operative report supports 34706.
On this page
CMS RVU26D · Effective 2026-10-01
34706 Aortic endograft repair Medicare reimbursement rates in Arkansas
Endovascular repair of a ruptured infrarenal aortic aneurysm or dissection using a bifurcated graft with limbs extending into both iliac arteries. Compare 34706 office and facility rates across CMS payment localities in Arkansas.
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.
What does Medicare pay for 34706 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1841.00
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Vascular surgery
About 34706: Ruptured aorto-bi-iliac endograft repair
Endovascular repair of a ruptured infrarenal aortic aneurysm or dissection using a bifurcated graft with limbs extending into both iliac arteries.
This code describes endovascular exclusion of a ruptured infrarenal aortic aneurysm or dissection with a bifurcated endograft extending from the aorta into both iliac arteries. A vascular surgeon typically performs the repair in a hospital operating room or endovascular suite, using imaging to guide graft deployment and assess the result. The repair addresses the aortic lesion and its bilateral iliac configuration; it is not the code for an isolated iliac aneurysm repair.
Select this code when the operative report documents rupture and the aorto-bi-iliac graft configuration. Distinguish it from codes for nonruptured repairs or other graft configurations. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate because the descriptor and anatomy account for bilateral treatment. Assistant-at-surgery and co-surgeon services may be paid; team surgery is not permitted.
CMS billing rules for 34706
- 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 RVU43.88 · 71%
- Practice expense (office) RVU6.44 · 10%
- Malpractice RVU11.08 · 18%
571
Medicare services in 2024 · #3442 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.
34706 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
Both address rupture, but 34702 uses an aorto-aortic tube graft rather than a bifurcated graft extending into both iliac arteries.
No office rate
Both address rupture, but 34704 uses an aorto-uni-iliac graft configuration rather than bilateral iliac limbs.
Compare 34706 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
Unavailable
Facility
$1841.00
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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 34706 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
4,207
- Code
- 34706
- Physician work
- 43.88
- Practice expense
- 6.44
- Malpractice
- 11.08
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 43.88 | × 1.000 | 43.8800 |
| Practice expense | 6.44 | × 0.859 | 5.5320 |
| Malpractice | 11.08 | × 0.515 | 5.7062 |
| Total RVUs | 55.1182 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$1841.00
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 43.88 | 1 |
| Practice expense | 6.44 | 0.859 |
| Malpractice | 11.08 | 0.515 |
(43.88 × 1 + 6.44 × 0.859 + 11.08 × 0.515) × $33.4009 = $1841.00
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.
34706 billing questions
How does this differ from 34705?
Both describe aorto-bi-iliac endograft repair. Use 34706 when the aortic aneurysm or dissection is ruptured; 34705 is for repair without rupture.
Should modifier 50 be appended for the two iliac limbs?
No. The bilateral aorto-iliac configuration is built into the service, making modifier 50 inappropriate.
What documentation supports reporting 34706?
The operative report should establish rupture and describe deployment of a bifurcated endograft from the aorta into both iliac arteries.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery and co-surgeon services may be paid. Team surgery is not permitted.
Can another procedure in the same session be reduced?
Yes. The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple procedure reduction.
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.
4,20434703,,Evasc rpr a-unilac ndgft,A,,25.86,4.71,NA,4.71,,6.49,37.06,37.06,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,20534704,,Evasc rpr a-unilac ndgft rpt,A,,43.88,5.33,NA,5.33,,11.25,60.46,60.46,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,20634705,,Evac rpr a-biiliac ndgft,A,,28.84,5.10,NA,5.10,,7.22,41.16,41.16,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,20734706,,Evasc rpr a-biiliac rpt,A,,43.88,6.44,NA,6.44,,11.08,61.40,61.40,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,20834707,,Evasc rpr ilio-iliac ndgft,A,,21.72,4.31,NA,4.31,,5.43,31.46,31.46,0,090,0.09,0.84,0.07,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,20934708,,Evasc rpr ilio-iliac rpt,A,,35.59,4.67,NA,4.67,,9.12,49.38,49.38,0,090,0.09,0.84,0.07,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,21034709,,Plmt xtn prosth evasc rpr,A,,6.34,0.71,NA,0.71,,1.59,8.64,8.64,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
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