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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
$1,949.84 / $2,187.76 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,187.76 / $7,762.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,388.44 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $6,918.31 / $11,220.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,238.72 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $3,162.28 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $3,019.95 / $5,011.87