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Ohio 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
$1,817.48 / $8,553.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.48 / $1,817.48 / $2,958.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.00 / $5,945.00 / $29,406.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.42 / $2,411.14 / $3,988.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,580.84 / $1,580.84 / $2,301.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.57 / $1,704.84 / $1,704.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.30 / $2,015.36 / $3,243.46
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.27 / $2,152.28 / $3,181.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.71 / $1,469.63 / $1,704.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.73 / $3,086.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.75 / $1,998.99 / $3,014.57