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Arkansas 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
$1,181.00 / $1,821.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.09 / $1,539.09 / $2,276.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,130.71 / $2,820.07 / $2,820.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $2,803.72 / $3,863.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,230.00 / $2,421.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.75 / $2,451.85 / $4,816.59