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Missouri 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
$1,704.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.23 / $1,829.51 / $1,909.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,286.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.81 / $1,405.98 / $2,475.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.51 / $2,088.16 / $3,611.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,236.00 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.84 / $2,450.48 / $11,040.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.84 / $2,227.71 / $4,140.03