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North Dakota 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
$1,843.11 / $1,843.11 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.11 / $1,843.11 / $2,084.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,917.37 / $3,152.82 / $3,651.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,776.16 / $6,187.99 / $9,988.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.11 / $2,258.17 / $5,529.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.94 / $4,002.49 / $7,703.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,541.46 / $3,802.44 / $7,703.55