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Ohio 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
$2,021.65 / $8,553.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.65 / $2,021.65 / $2,948.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.00 / $5,945.00 / $29,406.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.57 / $1,924.51 / $3,168.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.04 / $1,736.04 / $2,527.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.23 / $1,872.20 / $1,872.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.73 / $2,373.12 / $3,461.21
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.93 / $2,391.52 / $3,432.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.59 / $1,214.48 / $1,408.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.97 / $1,847.24 / $2,648.80