go back

Tennessee 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
$2,258.00 / $3,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,918.71 / $2,552.11 / $3,191.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.95 / $1,991.95 / $1,991.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,388.00 / $6,183.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.99 / $2,156.15 / $3,557.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.93 / $2,899.96 / $4,298.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $25,842.96 / $28,195.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,770.96 / $16,111.76 / $17,700.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.41 / $2,526.63 / $3,847.20