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North Dakota 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
$1,616.28 / $1,616.28 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,616.28 / $1,616.28 / $1,770.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,917.37 / $3,152.82 / $3,651.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,875.08 / $3,724.95 / $6,012.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,616.28 / $2,171.31 / $4,848.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.68 / $3,178.24 / $4,637.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.00 / $1,978.00 / $1,978.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,942.26 / $3,242.05 / $4,637.22