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Alaska rates for HCPCS 34843

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 three visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,454.71 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $5,888.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $10,000.00 / $14,125.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,995.26 / $10,000.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $7,413.10 / $10,471.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $10,000.00 / $14,125.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,698.24 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $4,265.80 / $9,772.37