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Washington, DC 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
$1,017.00 / $2,080.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,128.15 / $2,128.15 / $2,128.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,589.85 / $2,589.85 / $2,822.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.05 / $1,902.64 / $4,381.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,727.42 / $3,727.42 / $3,727.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,758.50 / $4,235.18 / $7,032.30