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Idaho rates for HCPCS 34846

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 two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,185.42 / $2,526.79 / $5,622.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,383.06 / $2,917.18 / $3,256.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.38 / $3,144.70 / $7,196.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.17 / $1,903.17 / $1,903.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,317.58 / $3,500.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,954.77 / $4,142.96 / $4,142.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.27 / $2,217.07 / $4,124.64