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See a sample rate comparisonCPT 34501 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Reconstruct Blood Vessel Valve, Surgery To Repair And Reconstruct A Valve In The Major Blood Vessel In The Groin (Femoral Vein).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | LT - Left side of body RT - Right side of body 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | $820.66 national non-facility rate (2026) · View Medicare rates for 34501 |
| Medicaid Fee Schedule | $636.475 median of the 8 states in the free preview · View Medicaid rates for 34501 |
National average reimbursement for CPT 34501 by major payers:
$1,268.50
$1,273.79
$1,301.10
$1,446.57
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CPT 34501
5 of 25 sample ratesHigher to lower in this preview
Wisconsin Surgery Center LLC
Wisconsin Surgery Center, LLC
$12,746.00Published rateHudson Crossing Surgery Center, LLC, Hudson Crossing Surgery Center
Hudson Crossing Surgical Center
$5,573.00Published rateSurgcenter Of Western Maryland, LLC
$4,134.00Published rateBel Air Endoscopy Asc LLC, Harford Endoscopy Center
Bel Air Endoscopy Asc LLC
$2,223.00Published rateFoot And Ankle Center At The Burkland Medical Center Inc.
Foot And Ankle Center At The Burkland Medical Center Inc
$1,144.00Published rate
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See a sample payer proposalCPT 34501 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 34501 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 34501 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 34490-CPT | Moderate | Blood Clot Removal, Surgery To Remove A Blood Clot From An Artery Or Vein In The Leg Arm Abdomen Or Neck. The Blood Vessel May Be Opened Up Or A Thin Tube (Catheter) Inserted Into The Vessel To Remove The Clot. |
| 34501-CPT | High | Reconstruct Blood Vessel Valve, Surgery To Repair And Reconstruct A Valve In The Major Blood Vessel In The Groin (Femoral Vein). |
| 34713-CPT | Low | Percutaneous Access And Closur, Percutaneous Access And Closure Of Femoral Artery For Delivery Of Endograft Through A Large Sheath (12 French Or Larger) Including Ultrasound Guidance When Performed Unilateral (List Separately In Addition To Code For Primary Procedure) All Nonselective Catheterization(S) All Associate |
| 34812-CPT | Moderate | Open Large Artery For Repair, Surgery To Open A Large Artery In The Groin (Femoral Artery) Abdomen (Iliac Artery) Or Arm (Brachial Artery) To Insert A Support Device (Stent). The Stent Stabilizes Or Bypasses A Bulge (Aneurysm) Or Ruptured Segment Of The Artery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 34501. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 34501 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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