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Indiana 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
$1,380.38 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,089.30 / $2,691.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $25,703.96 / $35,481.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,630.78 / $5,623.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,819.70 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,995.26 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,344.23 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $5,754.40 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,089.30 / $3,548.13