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Oklahoma 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
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,747.72 / $2,747.72 / $2,832.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,474.92 / $2,474.92 / $2,474.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.45 / $2,647.21 / $3,879.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $2,832.92 / $6,272.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.41 / $2,428.81 / $17,297.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.79 / $2,124.78 / $4,346.55