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New Jersey 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
$1,091.79 / $6,325.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.79 / $1,091.79 / $2,422.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,965.20 / $2,788.68 / $15,235.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,452.89 / $5,413.21 / $6,024.24
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,312.23 / $4,556.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.00 / $7,273.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,863.35 / $3,173.53 / $6,945.12