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Massachusetts rates for HCPCS 34842

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 two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.13 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.13 / $1,061.13 / $1,061.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,854.00 / $7,231.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,582.00 / $2,581.35 / $7,607.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,347.21 / $3,507.40 / $6,233.53
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,770.34 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,115.78 / $2,489.16 / $3,927.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.53 / $3,863.30 / $5,072.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $16,815.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,842.24 / $2,821.04 / $11,760.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,372.00 / $5,876.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.49 / $2,545.64 / $4,925.35