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North Dakota 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
$1,473.41 / $1,473.41 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.75 / $1,473.41 / $1,616.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,917.37 / $3,152.82 / $3,651.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,283.42 / $2,958.39 / $4,775.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,473.41 / $2,171.31 / $4,420.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.84 / $2,633.34 / $3,683.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,605.06 / $2,804.78 / $3,683.06