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Vermont 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
Professional
Modifier
Low / Median / High Price
$1,091.79 / $1,091.79 / $1,091.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,197.59 / $3,197.59 / $8,150.93
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,197.59 / $3,197.59 / $8,150.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,240.06 / $2,650.69 / $10,004.36