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Missouri 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
$1,935.41 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.30 / $2,233.73 / $2,324.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,286.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.10 / $2,567.03 / $4,572.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.17 / $2,542.46 / $4,716.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,530.36 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.26 / $2,788.38 / $13,445.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.53 / $2,462.19 / $5,414.78