go back

Louisiana 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
$900.00 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.62 / $2,486.01 / $2,712.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,575.53 / $3,746.29 / $4,685.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.21 / $2,742.84 / $3,700.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,309.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.07 / $2,953.92 / $4,894.96