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Iowa 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
$2,511.89 / $5,370.32 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,041.74 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,570.88 / $5,623.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,398.83 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,466.84 / $7,413.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,090.30 / $5,623.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,981.07 / $4,466.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,691.53 / $5,370.32