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Louisiana 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
$900.00 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.08 / $1,807.81 / $1,972.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,920.76 / $3,091.55 / $3,827.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.08 / $2,000.04 / $2,632.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,309.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.84 / $2,587.83 / $3,998.59