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North Dakota 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
$1,773.74 / $1,773.74 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.74 / $1,773.74 / $1,941.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,312.56 / $3,579.90 / $4,145.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,466.74 / $4,491.51 / $7,250.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,773.74 / $2,345.04 / $5,321.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,674.95 / $3,832.18 / $5,591.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.17 / $3,832.18 / $5,591.32