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Alaska rates for HCPCS 34848

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 four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,285.00 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,086.36 / $12,086.36 / $12,086.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,933.47 / $6,933.47 / $6,933.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,185.94 / $12,086.36 / $17,283.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,005.97 / $2,005.97 / $2,865.68
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,450.00 / $10,962.00 / $13,574.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,185.94 / $12,086.36 / $17,283.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,005.97 / $9,178.50 / $13,785.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,207.56 / $6,327.12 / $9,677.39