go back

West 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
$1,400.00 / $1,781.62 / $1,781.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.62 / $2,021.65 / $2,366.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,898.40 / $1,898.40 / $2,316.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,059.55 / $2,059.55 / $2,059.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,068.40 / $2,068.40 / $2,068.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.97 / $2,597.36 / $9,198.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.61 / $1,690.00 / $2,688.63