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Wyoming 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
Professional
Modifier
Low / Median / High Price
$1,692.80 / $1,692.80 / $1,692.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,822.00 / $4,310.00 / $5,172.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,768.96 / $2,768.96 / $2,768.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.94 / $4,831.91 / $6,494.83