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New York 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
$1,819.00 / $5,960.00 / $11,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.79 / $1,091.79 / $2,666.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,583.00 / $8,134.00 / $16,083.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,249.02 / $3,233.89 / $5,532.55
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.72 / $3,410.50 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,735.72 / $2,735.72 / $2,735.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,478.71 / $2,478.71 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,965.20 / $3,379.91 / $6,956.21
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $4,475.14 / $46,576.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,098.18 / $4,647.27 / $7,470.05
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.69 / $3,495.63 / $6,242.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $2,478.71 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.16 / $2,030.88 / $6,515.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,895.43 / $3,786.66 / $7,917.57
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,142.85 / $4,578.42 / $4,749.60
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.69 / $4,578.42 / $7,221.68