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Missouri 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
$2,325.85 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,245.79 / $2,684.36 / $2,793.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,286.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,726.22 / $3,376.99 / $5,944.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.55 / $3,116.33 / $5,691.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,793.48 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,756.57 / $3,108.65 / $17,297.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.93 / $2,728.02 / $5,985.41