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Washington, DC 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
$1,017.00 / $2,080.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,334.91 / $2,334.91 / $2,334.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,615.48 / $2,615.48 / $2,850.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,840.34 / $2,193.78 / $4,806.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,090.61 / $4,090.61 / $4,090.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.28 / $3,064.59 / $7,651.10