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Rhode Island 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
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.76 / $974.76 / $2,241.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,418.01 / $9,442.60 / $11,134.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,080.73 / $3,624.39 / $3,624.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.01 / $1,995.18 / $4,329.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,622.64 / $3,454.53 / $5,722.90