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Connecticut 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
$1,091.79 / $7,629.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.79 / $1,091.79 / $1,091.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,098.00 / $12,905.00 / $17,206.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,323.58 / $2,802.05 / $3,082.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,919.95 / $3,110.91 / $5,608.83
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,495.97 / $3,495.97 / $3,495.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.00 / $5,345.00 / $14,963.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.98 / $3,110.22 / $6,129.04