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Florida 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
$1,203.00 / $5,839.00 / $11,624.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.13 / $1,539.09 / $1,817.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.97 / $1,993.65 / $3,233.66
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,460.00 / $21,065.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.78 / $2,822.59 / $2,822.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $4,205.66 / $5,052.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.00 / $5,242.00 / $13,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.24 / $2,015.55 / $3,593.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,206.41 / $2,206.41 / $2,206.41