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Tennessee 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
$2,258.00 / $3,536.11 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.49 / $2,047.05 / $2,697.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,388.00 / $6,217.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.48 / $2,055.73 / $3,391.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.84 / $2,232.89 / $3,631.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $20,577.25 / $21,152.23
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,760.96 / $12,087.04 / $14,091.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,698.00 / $4,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,511.92 / $2,428.40 / $3,637.28