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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,312.73 / $2,557.15 / $2,606.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,580.36 / $5,812.80 / $9,507.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.18 / $228.24 / $285.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,150.00 / $2,373.12 / $4,316.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $2,661.00 / $5,261.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.04 / $1,911.04 / $3,625.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.04 / $1,863.26 / $3,067.15