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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,994.60 / $2,096.13 / $2,411.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,580.36 / $5,812.80 / $9,507.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.18 / $228.24 / $285.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.89 / $2,209.44 / $3,913.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $2,305.73 / $4,548.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.22 / $1,900.15 / $3,692.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,193.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.22 / $1,825.75 / $3,071.49