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Georgia 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
$1,912.54 / $5,063.00 / $7,631.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.35 / $1,843.54 / $2,037.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,860.62 / $5,304.99 / $10,832.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.44 / $2,465.64 / $3,370.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.84 / $2,735.92 / $4,868.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.12 / $2,482.41 / $14,148.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.00 / $3,587.00 / $8,133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.12 / $2,428.40 / $3,575.53