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Arkansas 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
$1,181.00 / $2,060.14 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,060.14 / $2,060.14 / $2,838.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,361.01 / $3,124.87 / $3,124.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $3,392.99 / $4,816.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.07 / $2,584.67 / $4,784.32