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Tennessee 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
$2,258.00 / $3,712.30 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.29 / $2,188.84 / $2,831.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,387.00 / $6,183.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.28 / $1,823.04 / $3,042.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.60 / $2,422.37 / $3,812.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $22,597.74 / $23,528.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,916.24 / $13,445.28 / $15,477.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.36 / $2,304.54 / $3,676.43