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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
$2,041.74 / $3,890.45 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,344.23 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $4,677.35 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $239.88 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,511.89 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,691.53 / $5,248.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,041.74 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,290.87 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,819.70 / $3,162.28