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Washington 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
$2,630.27 / $10,232.93 / $28,183.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,398.83 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $5,011.87 / $6,760.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,162.28 / $4,897.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,162.28 / $4,677.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $169.82 / $1,698.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,621.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $3,019.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $4,677.35 / $6,760.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,265.80 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,311.31 / $37,153.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,511.89 / $4,677.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,089.30 / $2,951.21