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New Jersey 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 / $6,325.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.13 / $1,061.13 / $2,016.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.41 / $2,139.79 / $8,160.52
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,899.41 / $3,226.69 / $4,092.76
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.08 / $2,161.91 / $4,629.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.00 / $4,135.00 / $9,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.91 / $2,479.33 / $5,734.34