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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
$9,772.37 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,398.83 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,000.00 / $14,454.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $2,041.74 / $10,000.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $10,715.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,000.00 / $14,454.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,621.81 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,890.45 / $8,912.51