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Maine 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
$1,061.13 / $2,470.89 / $2,470.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.53 / $2,191.89 / $2,206.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.30 / $2,470.89 / $3,606.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.13 / $2,049.46 / $3,188.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.13 / $2,470.89 / $2,470.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.74 / $2,811.06 / $3,761.39