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Massachusetts rates for HCPCS 34845

Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.76 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.76 / $974.76 / $974.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,854.00 / $8,220.64
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,067.23 / $3,758.62 / $11,077.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,610.94 / $3,900.45 / $6,932.08
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $3,504.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,966.63 / $3,624.39 / $5,718.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,416.64 / $4,584.37 / $5,843.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $18,466.14
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.27 / $3,767.04 / $12,916.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.00 / $3,367.36 / $7,713.85