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Colorado 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
$3,090.30 / $5,370.32 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,187.76 / $3,090.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $18,197.01 / $33,113.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,630.27 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,884.03 / $3,630.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $3,090.30 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,760.83 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,630.27 / $4,168.69