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Minnesota 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
$1,949.84 / $1,949.84 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,089.30 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $10,964.78 / $25,703.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $602.56 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $8,511.38 / $20,417.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $10,964.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $8,317.64 / $16,218.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $6,165.95 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,467.37 / $7,079.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,801.89 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,311.31 / $6,456.54