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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.48 / $1,855.17 / $2,198.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,354.59 / $4,982.39 / $8,149.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.18 / $228.24 / $285.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.22 / $2,014.11 / $3,566.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.47 / $2,117.46 / $4,466.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.43 / $1,772.08 / $3,436.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,413.00 / $2,572.00 / $5,261.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.43 / $1,766.52 / $3,165.98