go back

Alaska 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,285.00 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,275.88 / $11,275.88 / $11,275.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,469.85 / $6,469.85 / $6,469.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.96 / $11,275.88 / $16,124.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,872.31 / $1,872.31 / $2,674.73
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,742.50 / $10,141.29 / $12,669.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.96 / $11,275.88 / $16,124.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,872.31 / $8,565.00 / $12,866.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,051.72 / $4,061.84 / $9,318.95