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Illinois 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
$1,017.00 / $3,073.00 / $7,407.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.75 / $1,643.09 / $2,056.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.45 / $1,669.45 / $2,284.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.86 / $2,238.46 / $2,913.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.08 / $2,489.53 / $7,019.38
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.76 / $1,903.76 / $1,903.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.97 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $2,873.00 / $7,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.92 / $2,094.25 / $3,451.82