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West 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
$1,400.00 / $1,549.79 / $1,549.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.79 / $1,660.15 / $1,943.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.44 / $1,578.44 / $1,926.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.47 / $1,712.47 / $1,712.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.52 / $1,698.52 / $1,698.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.48 / $2,141.44 / $7,078.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.79 / $1,613.18 / $2,688.63