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Emergency Stent Graft, Aorta To One Pelvic Artery

New Hampshire rates for HCPCS 34704

Emergency repair of a burst main abdominal artery from the inside, using a fabric-lined metal sleeve threaded up through a groin artery. The sleeve seals the torn aorta and carries blood down a single limb into one of the large pelvic arteries, stopping the internal bleeding without opening the abdomen. Flow to the opposite leg is restored separately during the same operation.

Facilitymedian $19,953 · 10th–90th $2,399$52,4810%10%10th90th$19,953$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$4,466.84
Typical High
$20,892.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$34,673.69
Typical High
$54,954.09
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10