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New Mexico 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
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.75 / $1,072.23 / $1,711.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.63 / $2,213.21 / $2,746.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $1,619.54 / $3,392.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.74 / $2,213.21 / $2,746.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $4,262.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.71 / $2,300.28 / $3,276.48