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Maryland rates for HCPCS 34841

Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.75 / $1,840.77 / $1,943.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,564.21 / $2,564.21 / $3,256.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.78 / $1,985.55 / $3,956.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,577.44 / $2,034.90 / $3,404.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.08 / $1,999.23 / $3,927.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.88 / $1,562.88 / $1,562.88