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Oklahoma 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
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,563.19 / $2,563.19 / $2,642.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,260.87 / $2,260.87 / $2,260.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.84 / $2,448.98 / $3,589.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $2,642.68 / $6,272.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.94 / $2,262.60 / $16,111.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.46 / $1,945.39 / $3,027.88