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Oklahoma 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
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,158.62 / $2,158.62 / $2,225.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.69 / $2,066.19 / $3,027.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $2,225.55 / $6,272.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.10 / $1,967.90 / $13,445.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.61 / $1,704.48 / $2,846.49