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Maryland 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
Professional
Modifier
Low / Median / High Price
$2,007.73 / $2,297.53 / $2,366.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,692.42 / $2,692.42 / $3,419.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.13 / $2,282.63 / $4,548.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.12 / $2,447.28 / $3,996.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.66 / $2,009.52 / $3,476.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.88 / $1,562.88 / $1,562.88