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Iowa 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
$3,162.28 / $5,370.32 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,630.27 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $8,511.38 / $10,715.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $4,466.84 / $10,964.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,370.32 / $7,413.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,715.35 / $6,309.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $5,370.32 / $6,025.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,818.38 / $5,754.40