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Connecticut 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
$1,091.79 / $7,629.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.79 / $1,091.79 / $1,091.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,098.00 / $12,905.00 / $17,206.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.01 / $3,109.43 / $3,491.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,057.89 / $3,430.52 / $6,185.42
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,413.21 / $5,413.21 / $5,413.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.00 / $5,345.00 / $14,963.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,948.88 / $5,445.64 / $8,331.33