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Maryland rates for HCPCS 34843

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.85 / $2,270.08 / $2,334.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,615.48 / $2,615.48 / $3,321.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.21 / $2,385.02 / $4,752.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.84 / $2,437.89 / $4,090.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.00 / $661.00 / $661.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.33 / $2,243.53 / $4,174.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,876.21 / $1,876.21 / $1,876.21