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Wyoming 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
Professional
Modifier
Low / Median / High Price
$1,546.01 / $1,546.01 / $1,546.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,491.00 / $3,937.00 / $4,724.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,529.19 / $2,529.19 / $2,529.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,910.82 / $4,525.50 / $5,958.10