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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 $1,698.24 / $4,897.79 / $11,748.98	Facility	$1,698.24	$4,897.79	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,344.23 / $3,162.28	Professional	$1,096.48	$2,344.23	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $14,454.40 / $28,840.32	Facility	$4,265.80	$14,454.40	$28,840.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $6,309.57	Professional	$2,630.27	$3,388.44	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $10,964.78 / $31,622.78	Facility	$323.59	$10,964.78	$31,622.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $4,365.16 / $12,589.25	Professional	$2,089.30	$4,365.16	$12,589.25
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $10,232.93	Facility	$851.14	$3,162.28	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $5,248.07	Professional	$1,548.82	$2,454.71	$5,248.07

Nationwide rates for HCPCS 34847

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