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Louisiana 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
$900.00 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.14 / $1,971.60 / $2,150.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,248.16 / $3,418.90 / $4,256.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.82 / $2,189.59 / $2,881.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.00 / $1,342.00 / $6,699.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.68 / $2,906.19 / $4,446.79