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Maine 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 / $974.76 / $2,252.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.45 / $1,670.87 / $1,693.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,745.95 / $2,252.48 / $3,293.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.16 / $1,871.39 / $2,911.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.75 / $974.76 / $2,252.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.27 / $2,093.12 / $2,911.88