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Virginia 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
$2,696.42 / $5,048.00 / $10,767.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,060.14 / $2,696.42 / $2,836.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,955.00 / $11,210.00 / $17,424.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,359.67 / $3,002.81 / $4,131.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,743.70 / $2,743.70 / $5,350.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,208.61 / $2,990.45 / $4,995.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.80 / $2,349.36 / $2,897.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.64 / $2,731.47 / $4,106.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,961.00 / $3,539.00 / $5,126.47
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,818.85 / $2,641.82 / $8,615.59
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,818.85 / $2,641.82 / $8,615.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.73 / $2,321.80 / $3,489.90