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Virginia 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
$2,188.84 / $5,048.00 / $10,767.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.78 / $2,188.84 / $2,530.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,955.00 / $11,210.00 / $17,424.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.20 / $2,014.70 / $2,771.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,692.42 / $2,692.42 / $5,250.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.92 / $2,496.76 / $4,302.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.95 / $2,054.34 / $2,533.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,860.51 / $2,366.66 / $3,549.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,498.00 / $3,139.00 / $4,277.95
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.00 / $2,333.17 / $7,420.15
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.00 / $2,333.17 / $7,420.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.08 / $1,997.16 / $2,936.59