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North Dakota 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
$1,684.74 / $1,684.74 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,684.74 / $1,684.74 / $1,968.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,917.37 / $3,152.82 / $3,651.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,186.52 / $5,424.05 / $8,755.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,684.74 / $2,171.31 / $5,054.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.53 / $3,769.58 / $6,752.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,303.63 / $3,223.02 / $6,752.08