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Minnesota 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
$1,778.28 / $1,778.28 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,819.70 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $10,964.78 / $25,703.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $478.63 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,079.46 / $16,982.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $6,165.95 / $9,120.11
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $6,918.31 / $13,182.57
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $5,128.61 / $7,762.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,467.37 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,235.94 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,884.03 / $5,888.44