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Alaska rates for HCPCS 34845

Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,285.00 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,057.69 / $10,057.69 / $10,057.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,572.49 / $5,572.49 / $5,572.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.01 / $10,057.69 / $14,382.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,612.29 / $1,612.29 / $2,303.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,375.00 / $8,555.00 / $10,813.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.01 / $10,057.69 / $14,382.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,612.29 / $7,377.00 / $11,079.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,895.88 / $5,858.43 / $8,960.52