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Maine 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
$974.76 / $2,575.57 / $2,575.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.96 / $2,069.55 / $2,086.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,062.33 / $2,575.57 / $3,786.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,184.77 / $2,431.98 / $3,784.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.76 / $2,575.57 / $2,575.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,201.73 / $3,709.36 / $4,476.82