go back

Oregon rates for HCPCS 34717

Endovascular repair of iliac artery at the time of aorto-iliac artery endograft placement by deployment of an iliac branched endograft including pre-procedure sizing and device selection, all ipsilateral selective iliac artery catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally in the internal iliac, external iliac, and common femoral artery(ies), and treatment zone angioplasty/stenting, when performed, for rupture or other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation, penetrating ulcer, traumatic disruption), unilateral (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.75 / $7,920.26 / $13,496.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.75 / $934.02 / $1,063.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.05 / $801.29 / $1,204.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.34 / $811.00 / $866.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.05 / $873.85 / $1,204.73
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$167.28 / $167.28 / $167.28
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$142.19 / $142.19 / $142.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,364.00 / $7,664.00 / $36,803.00