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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,479.17 / $2,764.11 / $2,793.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,580.36 / $5,812.80 / $9,507.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.18 / $228.24 / $285.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,305.26 / $2,543.77 / $4,624.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $2,764.11 / $5,611.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.15 / $1,951.96 / $3,752.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.15 / $1,933.07 / $3,327.14