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North Dakota 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
$1,956.08 / $1,956.08 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,956.08 / $1,956.08 / $7,839.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,312.56 / $3,579.90 / $4,145.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,367.82 / $6,954.55 / $11,225.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,956.08 / $2,258.17 / $5,868.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.07 / $4,022.82 / $8,657.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,664.59 / $3,821.76 / $8,657.68