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South Carolina 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
$2,838.27 / $7,799.00 / $21,886.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.64 / $2,263.04 / $2,838.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.24 / $1,313.80 / $1,872.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.34 / $2,967.78 / $5,788.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,932.51 / $2,838.27 / $4,566.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.42 / $2,670.84 / $3,768.04