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Hawaii 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
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.13 / $1,061.13 / $1,061.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.04 / $1,816.40 / $2,119.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,026.28 / $2,190.63 / $2,820.95
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $29.27 / $29.27