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Maine 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
$1,096.48 / $2,187.76 / $2,691.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,754.23 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,818.38 / $4,168.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,691.53 / $3,467.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,454.71 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,951.21 / $3,981.07