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Oklahoma 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
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,422.14 / $2,422.14 / $2,497.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.08 / $2,260.29 / $3,191.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $2,497.25 / $6,272.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.48 / $2,124.21 / $15,126.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.48 / $1,860.05 / $3,008.16