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Washington, DC 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
$1,017.00 / $2,080.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,653.30 / $2,653.30 / $2,653.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,743.70 / $2,743.70 / $2,990.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,245.12 / $2,676.37 / $5,186.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,968.63 / $4,968.63 / $4,968.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.28 / $2,693.56 / $7,651.10