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Virginia 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
$2,932.27 / $5,048.00 / $10,767.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.51 / $2,932.27 / $3,416.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,955.00 / $11,210.00 / $17,424.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,744.46 / $3,492.47 / $4,804.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,769.35 / $2,769.35 / $5,400.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,366.29 / $3,210.42 / $5,352.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,094.23 / $2,513.08 / $3,099.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,309.57 / $2,932.27 / $4,465.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,201.00 / $3,788.00 / $5,503.58
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.64 / $2,831.13 / $9,232.95
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,895.64 / $2,831.13 / $9,232.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.57 / $2,329.12 / $3,578.95