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Maryland 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
Professional
Modifier
Low / Median / High Price
$1,912.54 / $2,065.96 / $2,128.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,589.85 / $2,589.85 / $3,289.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.77 / $2,174.05 / $4,332.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,727.58 / $2,228.58 / $3,727.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.81 / $2,219.06 / $4,321.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.55 / $1,719.55 / $1,719.55