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Alaska rates for HCPCS 34841

Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,285.00 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.23 / $8,260.24 / $8,260.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,873.26 / $4,873.26 / $4,873.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.01 / $8,260.24 / $11,812.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.46 / $1,413.46 / $2,019.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,675.00 / $6,583.00 / $9,479.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.01 / $8,260.24 / $11,812.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.46 / $6,451.50 / $9,713.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,895.88 / $5,858.43 / $8,960.52