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See a sample rate comparisonCPT 34820 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 59 - Distinct Procedural Service 50 - Bilateral Procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $304.28 national non-facility rate (2026) · View Medicare rates for 34820 |
| Medicaid Fee Schedule | $261.15 median of the 8 states in the free preview · View Medicaid rates for 34820 |
National average reimbursement for CPT 34820 by major payers:
$583.47
$578.78
$558.31
$617.01
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CPT 34820
5 of 25 sample ratesHigher to lower in this preview
College Park Endoscopy Center, LLC, College Park Surgery Center
College Park Endoscopy Center LLC
$2,732.00Published rateManchester Surgery Center, LLC
$1,049.00Published rateWaco Gastroenterology Endoscopy Center LLC, Waco Gastroenterology Endoscopy Center
Waco Gastroenterology Endoscopy Center LLC
$624.00Published ratePark Center For Procedures LLC
$425.00Published rateArizona Advanced Surgery Center, LLC
Arizona Advanced Surgery Center LLC
$100.00Published rate
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See a sample payer proposalCPT 34820 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 34820 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 34820 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 |
|---|---|---|
| 34808-CPT | Moderate | Place Artery Closure Device, Procedure Done During Surgery To Repair A Bulging Artery (Aneurysm). Using Imaging Guidance A Device Is Placed That Stops Blood Flowing Through The Artery. |
| 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. |
| 34813-CPT | Moderate | Placement Of Femoral-Femoral P, Placement Of Femoral-Femoral Prosthetic Graft During Endovascular Aortic Aneurysm Repair (List Separately In Addition To Code For Primary Procedure). |
| 34820-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 34820. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 34820 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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