go back

West 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
$1,400.00 / $2,267.81 / $2,267.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,267.81 / $2,600.90 / $2,932.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,201.64 / $2,201.64 / $2,687.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,388.59 / $2,388.59 / $2,388.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,661.04 / $2,661.04 / $2,661.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.63 / $3,328.10 / $11,786.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.22 / $2,018.13 / $3,168.02