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Wyoming 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
Professional
Modifier
Low / Median / High Price
$2,262.34 / $2,262.34 / $2,262.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,470.00 / $6,168.00 / $7,402.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,962.51 / $3,962.51 / $3,962.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.98 / $5,210.88 / $6,825.43