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Texas rates for HCPCS 34701

Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation, and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $3,981.07 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,187.76 / $9,772.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $14,791.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $3,019.95 / $8,912.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,513.56 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,454.71 / $10,232.93