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North Carolina 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
$1,245.00 / $2,038.64 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.64 / $2,038.64 / $2,838.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,121.10 / $3,231.64 / $4,574.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,227.60 / $3,335.16 / $4,733.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,715.38 / $2,672.00 / $4,260.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,672.00 / $2,672.00 / $2,672.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.07 / $2,619.14 / $4,779.81
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $21,118.24 / $25,842.96
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,770.96 / $17,700.08 / $17,700.08