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Oklahoma 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
$1,288.25 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,905.46 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,949.84 / $2,570.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $2,137.96 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,819.70 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,949.84 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,737.80 / $2,511.89