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Virginia 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
$1,762.50 / $5,048.00 / $10,767.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.23 / $1,762.50 / $2,078.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,955.00 / $11,210.00 / $17,424.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.21 / $1,626.59 / $2,237.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,564.21 / $2,564.21 / $5,000.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.51 / $2,171.85 / $3,762.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.41 / $1,708.09 / $2,106.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,655.86 / $2,000.25 / $2,926.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,922.00 / $2,730.00 / $3,512.83
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,423.67 / $2,060.09 / $7,008.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.67 / $2,060.09 / $7,008.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.08 / $1,891.08 / $2,762.73