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Alaska rates for HCPCS 34842

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 two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,238.72 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $9,120.11 / $12,882.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,819.70 / $9,120.11
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $6,760.83 / $9,120.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $9,120.11 / $12,882.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,548.82 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,890.45 / $8,912.51