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North Carolina 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
$1,245.00 / $1,635.23 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.23 / $1,635.23 / $2,276.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,960.75 / $3,085.09 / $4,366.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.57 / $2,796.24 / $3,925.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.02 / $2,207.94 / $3,204.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,207.94 / $2,207.94 / $2,207.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.00 / $3,906.00 / $6,388.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.68 / $2,434.23 / $4,753.58
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $16,815.48 / $20,577.25
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,760.96 / $14,091.00 / $14,091.00