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Rhode Island 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
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.13 / $1,061.13 / $2,015.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,418.01 / $9,442.60 / $11,134.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,115.79 / $2,489.16 / $2,489.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.41 / $1,900.34 / $3,893.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,674.76 / $2,372.51 / $3,930.38