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South Carolina 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
$2,497.57 / $7,799.00 / $21,886.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,793.85 / $2,097.85 / $2,497.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.24 / $1,313.80 / $1,746.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.80 / $2,747.78 / $5,093.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.54 / $2,497.57 / $4,018.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.15 / $2,550.21 / $3,618.55