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South Dakota 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
$2,365.39 / $2,365.39 / $2,365.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,329.51 / $2,365.39 / $2,365.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,365.02 / $9,205.07 / $11,506.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.14 / $3,346.34 / $5,695.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,651.06 / $3,947.13 / $17,297.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,553.06 / $5,734.20 / $6,566.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,283.21 / $5,211.07 / $6,566.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,425.27 / $3,917.74 / $5,759.96