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Oklahoma 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
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,255.42 / $2,255.42 / $2,325.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.40 / $2,175.40 / $2,941.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $2,325.36 / $6,272.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.21 / $2,171.60 / $13,264.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,723.87 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.71 / $1,941.00 / $3,076.88