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North Carolina 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
$1,245.00 / $1,493.43 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.75 / $1,493.43 / $1,976.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,673.34 / $2,633.45 / $3,608.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.60 / $2,553.76 / $3,585.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.72 / $2,017.18 / $3,121.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,017.18 / $2,017.18 / $2,017.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.34 / $2,150.90 / $3,922.98
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $15,354.13 / $18,788.99
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,738.96 / $12,866.40 / $12,866.40