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Rhode Island 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
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.79 / $1,091.79 / $2,512.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,418.01 / $9,442.60 / $11,134.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,950.18 / $4,647.27 / $4,647.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,965.20 / $2,249.44 / $4,853.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.89 / $4,429.47 / $7,338.03