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Virginia 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
$2,049.46 / $5,048.00 / $10,767.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.09 / $2,049.46 / $2,275.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,955.00 / $11,210.00 / $17,424.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,676.79 / $2,133.80 / $2,935.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,589.85 / $2,589.85 / $5,050.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,617.54 / $2,378.07 / $4,127.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.88 / $1,870.65 / $2,307.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,813.45 / $2,189.92 / $3,202.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,105.00 / $2,990.00 / $3,845.86
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,576.43 / $2,224.00 / $7,420.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.43 / $2,224.00 / $7,420.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.00 / $3,295.00 / $5,790.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.20 / $2,184.56 / $4,605.35