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Nationwide rates for HCPCS 34847

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

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,887.54 / $3,889.50 / $8,373.50	Facility	$1,887.54	$3,889.50	$8,373.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.89 / $2,411.01 / $2,712.01	Professional	$1,987.89	$2,411.01	$2,712.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $9,458.00 / $17,400.00	Facility	$5,470.00	$9,458.00	$17,400.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,553.17 / $3,134.30 / $4,171.13	Professional	$2,553.17	$3,134.30	$4,171.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,478.71 / $2,478.71 / $5,354.61	Facility	$2,478.71	$2,478.71	$5,354.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,117.14 / $3,034.83 / $5,061.79	Professional	$2,117.14	$3,034.83	$5,061.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,292.00 / $3,325.00 / $8,198.00	Facility	$1,292.00	$3,325.00	$8,198.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,800.17 / $2,627.69 / $4,779.81	Professional	$1,800.17	$2,627.69	$4,779.81

Nationwide rates for HCPCS 34847

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