go back

Florida 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
$1,203.00 / $5,839.00 / $11,624.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.79 / $2,060.14 / $2,476.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.34 / $2,485.71 / $3,913.57
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,460.00 / $21,065.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,762.24 / $3,070.96 / $3,070.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $4,575.72 / $5,497.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.00 / $5,417.00 / $13,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.65 / $2,027.98 / $3,736.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,109.43 / $3,109.43 / $3,109.43