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Georgia 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
$2,097.85 / $5,063.00 / $7,631.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.45 / $2,022.18 / $2,235.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,860.62 / $5,304.99 / $10,832.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,364.02 / $2,781.20 / $4,073.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,648.17 / $3,002.67 / $5,268.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,351.26 / $2,862.40 / $17,011.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.00 / $3,629.00 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,567.45 / $2,429.55 / $3,967.12