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Arkansas 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
$1,181.00 / $1,821.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.78 / $1,667.78 / $2,531.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,900.42 / $2,515.27 / $2,515.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $2,921.74 / $4,296.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.98 / $1,920.45 / $3,828.61