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New Mexico 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
$1,000.00 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.13 / $1,680.35 / $2,973.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.28 / $2,422.92 / $3,006.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $1,795.21 / $3,760.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,004.61 / $2,422.92 / $3,006.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $4,616.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.72 / $2,504.96 / $3,498.32