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Missouri 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
$2,169.82 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,094.96 / $2,504.28 / $2,695.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,286.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,516.52 / $3,134.30 / $5,487.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.30 / $2,902.80 / $5,317.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,693.00 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.15 / $2,995.59 / $16,111.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.07 / $2,695.96 / $5,660.86